Most Relevant Information
Provider Data
| NPI Number: | 1003266503 |
| Provider Name: | TIMOTHY PATRICK VISCLOSKY MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207PP0204X |
| Specialty: | Emergency Medicine |
| License Number: | 4301117216 |
Most Important Dates
| Enumeration Date: | 06/15/2016 |
| Last Updated: | 07/20/2022 |
Provider Practice Location
1500 E MEDICAL CENTER DR
ANN ARBOR
MI
481095000
Practice Location Phone/Fax
| Phone: | 7349364000 |
| Fax: |
Provider Mailing Location
3621 S STATE ST
ANN ARBOR
MI
481081633
Provider Mailing Phone/Fax
| Phone: | 7346475299 |
| Fax: |