Individual
DR. TIMOTHY DONALD MACON
Active
Individual
DR. TIMOTHY DONALD MACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.,F.C.C.P.
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
TM009037
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000781
MCLAREN HEALTH ADVANTAGE
MA
01
—
1007603
MCLAREN HEALTH PLAN
MI
01
—
110216075
RAIL ROAD MEDICARE
MI
01
—
115651012
BLUE CROSS BLUE SHIELD
MI
01
—
122278
PREFERRED CHOICE
MI
01
—
302002
CENTRAL HEALTH PLAN OF MI
MA
01
—
383563124
PPOM
MI
01
—
383563124101
COMMUNITY CHOICE OF MICH
MI
05
—
4261168
—
MI
01
—
4509887
AETNA
MI
Enumeration date
10/06/2005
Last updated
10/23/2020
Update your record
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