Organization
TIMOTHY G MCNALLY DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA K VOWELL (BILLER)
(989) 666-6135
Entity
Organization
Contact information
Practice address
3364 S CENTER RD, BURTON, MI 48519-1458
(810) 743-3937
(810) 743-9210
Mailing address
3364 S CENTER RD, BURTON, MI 48519-1458
(810) 743-3937
(810) 743-9210
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
TM012077
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B50586
BCBS
MI
05
—
3391829
—
MI
Enumeration date
07/19/2010
Last updated
11/04/2025
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