Individual
TIMOTHY J SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
715 RICHLAND MALL, ONTARIO, OH 44906-3802
(419) 775-1091
Mailing address
700 N COLUMBUS ST, CRESTLINE, OH 44827-1455
(419) 462-3485
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
11020016A
IN
Other
Enumeration date
06/20/2018
Last updated
08/08/2023
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