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Individual

MICHAEL JOHN TANGEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2400 MICHIGAN ST, SIDNEY, OH 45365-9080
(937) 498-4225
(937) 498-0451
Mailing address
2400 MICHIGAN ST, SIDNEY, OH 45365-9080
(937) 498-4225
(937) 498-0451

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
3899T1212
OH

Other

Enumeration date
05/02/2008
Last updated
05/02/2008
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