Organization
TIM NICE MD INC
Active
Organization
TIM NICE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY NICE (OWNER)
(440) 585-5258
Entity
Organization
Contact information
Practice address
34600 CHARDON RD, SUITE 9, WILLOUGHBY HILLS, OH 44094-8480
(440) 585-5258
Mailing address
34600 CHARDON RD, SUITE 9, WILLOUGHBY HILLS, OH 44094-8480
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
35036891
OH
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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