| Timothy J. Tobolic, Md, Pllc | |
|
7740 Byron Center Ave Sw Suite 202 Byron Center MI 49315-6928 | |
| (616) 217-5100 | |
| (616) 217-5105 |
| Full Name | Timothy J. Tobolic, Md, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 7740 Byron Center Ave Sw, Byron Center, Michigan |
| Authorized Official Name and Position | Timothy Tobolic (OWNER) |
| Authorized Official Contact | 6163343374 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy J. Tobolic, Md, Pllc 7740 Byron Center Ave Sw Suite 202 Byron Center MI 49315-6928 Ph: (616) 217-5100 | Timothy J. Tobolic, Md, Pllc 7740 Byron Center Ave Sw Suite 202 Byron Center MI 49315-6928 Ph: (616) 217-5100 |
| NPI Number | 1982923660 |
|---|---|
| Provider Enumeration Date | 05/20/2010 |
| Last Update Date | 12/14/2010 |
| Medicare PECOS PAC ID | 3274720057 |
|---|---|
| Medicare Enrollment ID | O20101206000628 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982923660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301038030 (Michigan) | Primary |
| Provider Name | Scott K Duemler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306898036 PECOS PAC ID: 9537149893 Enrollment ID: I20040726000851 |
| Provider Name | Timothy J Tobolic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013940584 PECOS PAC ID: 3274681952 Enrollment ID: I20090507000245 |
Byron Family Medicine, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7751 Byron Center Ave Sw, Suite A, Byron Center, MI 49315 Phone: 616-878-3321 Fax: 616-878-0858 | |
Corewell Health Medical Group West Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7751 Byron Center Ave Sw, Byron Center, MI 49315 Phone: 616-878-3321 |