Individual
MR. BRADLEY ROBERT SCHEIBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C. PED, L. PED
Contact information
Practice address
390 W MARKET ST, SUITE 1, TIFFIN, OH 44883-2608
(419) 447-1981
Mailing address
3768 S COUNTY ROAD 23, ATTICA, OH 44807-9589
(419) 426-9314
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L1549
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2154074
—
OH
Enumeration date
02/22/2007
Last updated
07/08/2007
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