Timothy J Izzo in Grand Ledge - Family Medicine

Timothy J Izzo - NPI 1720152846

Timothy J Izzo is a Family Medicine in Grand Ledge, Michigan. Timothy J Izzo practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Timothy J Izzo is 1720152846. The last update date is 2014-01-30.

Timothy J Izzo's current location address is 1035 Charlevoix Dr, Grand Ledge, Michigan. You can contact this provider via phone number 5176272181 and fax number 5176221242. The mailing address for Timothy J Izzo is 1035 Charlevoix Dr, Grand Ledge, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Timothy J Izzo
Address 1035 Charlevoix Dr, Grand Ledge, Michigan
Phone Number 5176272181
Fax Number 5176221242
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1720152846
Provider Enumeration Date 2006-11-20
Last Updated Date 2014-01-30

Provider Mailing Address Detail

Address 1035 Charlevoix Dr
City Grand Ledge
State Michigan (MI)
Post Code 488372223
Phone Number 5176272181
Fax Number 5176221242

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No TI011387
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
852328574 MI BCBS INDIVIDUAL PIN
80079681 MEDICARE RAILROAD
P85301 MI BCN PIN NUMBER

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FAQs about Timothy J Izzo

What is the unique 10-digit identifier code assigned to Timothy J Izzo by the Centers for Medicare & Medicaid Services?

The Timothy J Izzo has been issued the NPI (National Provider Identifier) 1720152846 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Timothy J Izzo's facilities are situated?

The facilities of Timothy J Izzo are physically located at the following address: 1035 Charlevoix Dr, Grand Ledge, MI, 488372223.

What is Timothy J Izzo's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Timothy J Izzo's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1720152846 to Timothy J Izzo?

The Centers for Medicare & Medicaid Services originally issued the 1720152846 to Timothy J Izzo on 2006-11-20.

As of what date were the Timothy J Izzo's details last updated?

The information pertaining to the Timothy J Izzo, including its address, specialty, and other details, was most recently updated on 2014-01-30.

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