Individual
DR. TIMOTHY DALE BRANIGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-5560
Mailing address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-5560
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301046006
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003981
MCLAREN HEALTH PLAN
MI
01
—
125406
CARE CHOICES
MI
01
—
220021089
RAILROAD MEDICARE
MI
01
—
27214
COMMUNITY CHOICE OF MI
MI
01
—
3515345
HEALTH PLAN OF MI
MI
05
—
3515345
—
MI
01
—
565566
SELECTCARE
MI
Enumeration date
11/28/2006
Last updated
07/08/2007
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