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Individual

DR. TIMOTHY J PIRNAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12980 SABINA RD, LEESBURG, OH 45135-9578
(937) 218-6635
(888) 422-2159
Mailing address
PO BOX 347, LEESBURG, OH 45135-0347
(937) 218-6635
(888) 422-2159

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01074988A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000941674
ANTHEM PROVIDER NUMBER
IN
05
0781104
OH
05
201289650
IN
Enumeration date
08/04/2005
Last updated
05/03/2026
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