MEDICARE: MR. TIMOTHY R. WEICHERT DO, PHD,FACOI

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
1	207R00000X	Internal Medicine Physician	5101012287	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	110152828	OTHER		RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1152800585	OTHER	MI	BCBSM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114986098
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. TIMOTHY R. WEICHERT DO, PHD,FACOI

Provider Business Mailing Address
First Line	:	3537 W FRONT ST STE I
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49684-9651
Country	:	US
Telephone Number	:	231-935-8950
Fax Number	:	231-935-8868

Provider Business Practice Location Address
First Line	:	3537 W FRONT ST STE I
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49684-9651
Country	:	US
Telephone Number	:	231-935-8950
Fax Number	:	231-935-8868

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2006
Last Update Date	:	11/12/2020

Similar Medicare Providers

1366563298 — INDEPENDENCE UNLIMITED INC.
Practice Location Address:

460 LOGAN ST S
JUNCTION CITY, OH
43748-9651

Practice Phone: 740-987-8123
Practice Fax: 740-987-8393

1841735131 — AUSTIN PAUL ORTEGA
Practice Location Address:

6601 BLUEWATER RD
OKLAHOMA CITY, OK
73165-9651

Practice Phone: 405-517-4840
Practice Fax:

1669148565 — KIRSTEN LORRAINE SCOTT AGCNS-BC
Practice Location Address:

1105 6TH ST
TRAVERSE CITY, MI
49684-2386

Practice Phone: 231-392-0143
Practice Fax:

1265903280 — CAITLIN BRAXTON
Practice Location Address:

10161 E PICKWICK CT STE A
TRAVERSE CITY, MI
49684-5239

Practice Phone: 989-545-1768
Practice Fax:

1922875616 — KELSEY FORDYCE
Practice Location Address:

10161 E PICKWICK CT STE A
TRAVERSE CITY, MI
49684-5239

Practice Phone: 231-261-1942
Practice Fax:

1891463923 — JENNIFER LYNNE BRAMMER MSW
Practice Location Address:

10161 E PICKWICK CT
TRAVERSE CITY, MI
49684-5239

Practice Phone: 231-261-1942
Practice Fax:

Directions to “ MR. TIMOTHY R. WEICHERT DO, PHD,FACOI” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.