Individual
TIMOTHY JOSEPH VOLLBRECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5087 N ROYAL DR STE B, TRAVERSE CITY, MI 49684-6987
(231) 935-0440
(231) 935-0445
Mailing address
5087 N ROYAL DR STE B, TRAVERSE CITY, MI 49684-6987
(231) 935-0440
(231) 935-0445
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301084509
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4301084509
MI
207RP1001X
Pulmonary Disease Physician
Primary
4301084509
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2902811091
BCBS
MI
05
—
5192548
—
MI
Enumeration date
03/30/2007
Last updated
04/05/2021
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