Individual
JOHN TYCHONIEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2222 WELCOME PL, COLUMBUS, OH 43209-7813
(614) 533-6800
(614) 338-8735
Mailing address
5350 FRANTZ RD, DUBLIN, OH 43016-4259
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
121624
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0088630
—
OH
Enumeration date
06/22/2009
Last updated
11/14/2013
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