Individual
DR. TIN M WAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
440 PLUMAS BLVD, YUBA CITY, CA 95991-5071
(530) 749-3346
(530) 749-3476
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
G85725
CA
207RI0011X
Interventional Cardiology Physician
Primary
G85725
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G857250
—
CA
Enumeration date
02/23/2006
Last updated
02/07/2018
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