Individual
TIMOTHY J. PRITCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9500 MENTOR AVE STE 200, MENTOR, OH 44060-8702
(440) 354-0377
(440) 354-9368
Mailing address
7590 AUBURN ROAD, SUITE 014, ATTN: MED STAFF, CONCORD TWP., OH 44077-9176
(440) 354-1899
(440) 354-1845
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
35-04-7732
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0766505
—
OH
Enumeration date
10/10/2006
Last updated
03/03/2021
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