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Individual

TIMOTHY WRIGHT

Active
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Individual

TIMOTHY WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
4301053082
MI
208VP0014X
Interventional Pain Medicine Physician
Primary
4301053082
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13834
MCARE
MI
05
4362714-10
MI
01
508208301
BLUE CROSS BLUE SHIELD
MI
05
5207865-10
MI
01
550632331
BCBSM
MI
01
G32297
HEALTH ALLIANCE PLAN
MI
Enumeration date
04/27/2006
Last updated
03/13/2026
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