Individual
DR. TIMOTHY SCOTT VANSCHOICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2100 4TH ST, JACKSON, MI 49203-4518
(517) 787-4330
(517) 787-4861
Mailing address
2100 4TH ST, JACKSON, MI 49203-4518
(517) 787-4330
(517) 787-4861
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301053287
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103749
PREFERRED CHOICES
MI
01
—
200000005063
PHP
MI
05
—
2907369
—
MI
01
—
3503810431
BCBS
MI
Enumeration date
03/21/2006
Last updated
12/18/2020
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