Individual
MARIE TANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7535 FREDLE DR, CONCORD TWP, OH 44077-9406
(440) 357-3100
(440) 357-8254
Mailing address
PO BOX 8792, BELFAST, ME 04915-8792
(440) 357-3100
(440) 357-8254
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35061372T
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000138278
UNICARE
OH
01
—
106400
NATIONWIDE GROUP
OH
05
—
2088682
—
OH
01
—
2135555
AETNA SELECT
OH
01
—
376994
STAYWELL HEALTH/WELLCARE
OH
01
—
5100755
AETNA MANAGED CARE
OH
01
—
9007447
SUMMACARE
OH
01
—
9659200002
CIGNA
OH
Enumeration date
08/31/2005
Last updated
11/23/2020
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