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Organization

TIM NICE M.D. INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TIM J NICE M.D. (DOCTOR)
(440) 585-5258
Entity
Organization

Contact information

Practice address
34600 CHARDON ROAD, SUITE 9, WILLOUGHBY HILLS, OH 44094
(440) 585-5258
(440) 944-5278
Mailing address
34600 CHARDON ROAD, SUITE 9, WILLOUGHBY HILLS, OH 44094
(440) 585-5258
(440) 944-5278

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35036891
OH
225100000X
Physical Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0321851
OH
Enumeration date
08/29/2007
Last updated
01/07/2011
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