Individual
MR. IAN TICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1007 FRANKLIN ST STE A, TORONTO, OH 43964-1153
(740) 730-0305
Mailing address
1007 FRANKLIN ST STE A, TORONTO, OH 43964-1153
(740) 730-0305
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN.347647
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0029614
OH
Other
Enumeration date
08/23/2021
Last updated
02/14/2025
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