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NPI Code Detail

MEDICARE: DR. TIMOTHY R HACKETT M.D.

MEDICARE: DR. TIMOTHY R HACKETT M.D.
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
1208600000XSurgery Physician4301095432MI

General Provider Information

NPI Number : 1992822928
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIMOTHY R HACKETT M.D.
Provider Business Mailing Address
First Line : 1000 HOUGHTON AVE
Second Line :
City : SAGINAW
State : MI
Zip : 48602-5303
Country : US
Telephone Number : 989-558-6425
Fax Number :
Provider Business Practice Location Address
First Line : 912 S WASHINGTON AVE STE 1
Second Line :
City : SAGINAW
State : MI
Zip : 48601-2578
Country : US
Telephone Number : 989-790-1001
Fax Number : 989-790-1016
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2007
Last Update Date : 01/09/2026

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Directions to “ DR. TIMOTHY R HACKETT M.D.” Practice Location

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