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Individual
TODD E WHITAKER
Active
Individual
TODD E WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35.073357
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000116977
ANTHEM BC BS
OH
01
—
0351310001
DMERC REGION B
OH
01
—
180042380
RAILROAD MEDICARE
OH
05
—
2155902
—
OH
01
—
368523492002
MEDICAL MUTUAL
OH
Enumeration date
05/31/2006
Last updated
06/14/2023
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