Individual
DANIEL ALEXANDER TIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4600 INVESTMENT DR STE 200, TROY, MI 48098-6375
(248) 267-5050
(248) 267-5051
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57.026361
OH
207RC0000X
Cardiovascular Disease Physician
4351039869
MI
207RI0011X
Interventional Cardiology Physician
Primary
4351039869
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2015
Last updated
08/10/2022
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