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Individual
DR. TIMOTHY WAYNE MUMMERT
Active
Individual
DR. TIMOTHY WAYNE MUMMERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
005235
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0815461
—
OH
Enumeration date
09/08/2005
Last updated
10/15/2025
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