Organization
ONTARIO CHILDREN'S HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. V. DIANA TIMPERMAN M.D. (PHYSICIAN)
(419) 529-6285
Entity
Organization
Contact information
Practice address
2003 W 4TH ST, MANSFIELD, OH 44906-1787
(419) 529-6285
(419) 529-3150
Mailing address
2003 W 4TH ST, MANSFIELD, OH 44906-1787
(419) 529-6285
(419) 529-3150
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
35048163
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2024713
—
OH
05
—
2255312
—
OH
Enumeration date
02/29/2008
Last updated
04/06/2011
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