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Individual

TODD R TAMLYN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
102 COMMERCE PARK DR STE D, BELLEVUE, OH 44811-9095
(419) 483-2494
Mailing address
1400 W MAIN ST, BELLEVUE, OH 44811-9088
(419) 483-2494

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35.066390
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2018828
OH
01
P00670341
RR MEDICARE
OH
Enumeration date
07/11/2006
Last updated
11/30/2023
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