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NPI Code Detail

MEDICARE: TIMOTHY ROBERT MURRAY MD

MEDICARE:   TIMOTHY ROBERT MURRAY  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
1207R00000XInternal Medicine Physician34748CA
2207RC0200XCritical Care Medicine (Internal Medicine) Physician34748CA
3207RP1001XPulmonary Disease Physician4301072911MI
4207RS0012XSleep Medicine (Internal Medicine) PhysicianG159696CA
5207RP1001XPulmonary Disease Physician34748CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2290012232OTHERMIRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3G159696OTHERCASTATE MEDICAL LICENSE

General Provider Information

NPI Number : 1811953904
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY ROBERT MURRAY MD
Provider Business Mailing Address
First Line : PO BOX 67000
Second Line : DEPARTMENT 272801
City : DETROIT
State : MI
Zip : 48267-2728
Country : US
Telephone Number : 517-782-3190
Fax Number : 517-782-1223
Provider Business Practice Location Address
First Line : 95 MONTGOMERY DR STE 104
Second Line :
City : SANTA ROSA
State : CA
Zip : 95404-6617
Country : US
Telephone Number : 707-525-2902
Fax Number : 707-525-2904
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2006
Last Update Date : 03/07/2023

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Directions to “ TIMOTHY ROBERT MURRAY MD” Practice Location

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