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Individual

THOMAS DENNIS BICA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
970 E WASHINGTON ST, SUITE 6-C, MEDINA, OH 44256-3332
(330) 722-3083
(330) 725-5043
Mailing address
970 E WASHINGTON ST, SUITE 6-C, MEDINA, OH 44256-3332
(330) 722-3083
(330) 725-5043

Taxonomy

Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
39938
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0431063
OH
Enumeration date
01/11/2006
Last updated
07/08/2007
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