Individual
DR. TIMOTHY MAXWELL PELFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
498 LONDON AVE, SUITE B, MARYSVILLE, OH 43040-5512
(937) 642-0046
(937) 642-2012
Mailing address
13827 FAIRWAY DR, MARYSVILLE, OH 43040-9019
(937) 644-0102
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35 . 047727
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0594763
—
OH
Enumeration date
08/01/2006
Last updated
07/08/2007
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