Individual
DR. TIMOTHY BAZIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
34020 7 MILE RD STE 101, LIVONIA, MI 48152-3093
(248) 900-1555
(248) 516-5017
Mailing address
PO BOX 30148, BELFAST, ME 04915-2053
(248) 900-1555
(248) 516-5017
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
5101028077
MI
208100000X
Physical Medicine & Rehabilitation Physician
5151013516
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760040034
—
MI
Enumeration date
06/03/2019
Last updated
07/15/2024
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