Individual
MICHAEL S TORNWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 STATE ROUTE 664 N, LOGAN, OH 43138-8541
(740) 380-8140
(740) 380-8510
Mailing address
PO BOX 228, LOGAN, OH 43138-0228
(740) 385-7564
(740) 385-7566
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35066867T
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000195026
ANTHEM
OH
05
—
0974021
—
OH
Enumeration date
06/09/2005
Last updated
08/20/2025
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