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NPI Code Detail

MEDICARE: DR. TIMOTHY WILLIAM CHMIELEWSKI MD

MEDICARE:  DR. TIMOTHY WILLIAM CHMIELEWSKI  MD
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
1207Q00000XFamily Medicine Physician4301507810MI

General Provider Information

NPI Number : 1164041455
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIMOTHY WILLIAM CHMIELEWSKI MD
Provider Business Mailing Address
First Line : 36750 26 MILE RD STE 220
Second Line :
City : CHESTERFIELD
State : MI
Zip : 48047-2920
Country : US
Telephone Number : 586-725-0477
Fax Number : 586-725-8835
Provider Business Practice Location Address
First Line : 36750 26 MILE RD STE 220
Second Line :
City : CHESTERFIELD
State : MI
Zip : 48047-2920
Country : US
Telephone Number : 586-725-0477
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2020
Last Update Date : 07/27/2023

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Directions to “ DR. TIMOTHY WILLIAM CHMIELEWSKI MD” Practice Location

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