Individual
DR. KATRINA S TANSKY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
507 EXECUTIVE CAMPUS DR, SUITE 160, WESTERVILLE, OH 43082-8870
(614) 891-9505
(614) 891-6416
Mailing address
507 EXECUTIVE CAMPUS DR, SUITE 160, WESTERVILLE, OH 43082-8870
(614) 891-9505
(614) 891-6416
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-08-0663
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2388018
—
OH
Enumeration date
12/15/2005
Last updated
07/08/2007
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