Individual
TYSON THOMAS SCHRICKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 480-3990
Mailing address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 480-3990
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
57011528
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0069472
—
OH
01
—
H17131
MEDICARE PTAN
OH
Enumeration date
06/25/2007
Last updated
10/04/2013
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