Individual
TIMOTHY JOESPH ANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4126 N HOLLAND SYLVANIA RD, SUITE 200, TOLEDO, OH 43623-2504
(419) 473-3257
(419) 473-8816
Mailing address
4126 N HOLLAND SYLVANIA RD, SUITE 200, TOLEDO, OH 43623-2504
(419) 473-3257
(419) 473-8816
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35081000A
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2466200
—
OH
01
—
P00120919
MEDICARE RAILROAD
OH
Enumeration date
06/16/2006
Last updated
11/13/2007
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