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NPI Code Detail

MEDICARE: TIMOTHY PAGAN

MEDICARE: TIMOTHY PAGAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer SpecialistMI

General Provider Information

NPI Number : 1528900743
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY PAGAN
Provider Business Mailing Address
First Line : 765 E HAMILTON AVE
Second Line :
City : FLINT
State : MI
Zip : 48505-4707
Country : US
Telephone Number : 810-233-5340
Fax Number :
Provider Business Practice Location Address
First Line : 765 E HAMILTON AVE
Second Line :
City : FLINT
State : MI
Zip : 48505-4707
Country : US
Telephone Number : 810-233-5340
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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Directions to “ TIMOTHY PAGAN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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