NPI

Timothy Donald Macon

NPI 1679561443

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
d.o.,f.c.c.p.
Type
Individual
Enumeration date
2005-10-06
Last updated
2020-10-23

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Specialties

Licenses

License MI
TM009037

Location

Practice location
780 N Gavord Rd
City
Sterling MI
Postal code
48659-9703
Phone
(989) 654-2168

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Sterling, MI. 57 records in the public file.

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