Individual
DR. TIMOTHY JAMES TAUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
715 RICHLAND MALL, ONTARIO, OH 44906-3802
(419) 468-0732
(419) 468-0732
Mailing address
700 N COLUMBUS ST, CRESTLINE, OH 44827-1455
(419) 462-3485
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35.124079
OH
208800000X
Urology Physician
P6533
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0466132
—
OH
01
—
35.142079
STATE LICENSE
OH
Enumeration date
07/03/2007
Last updated
08/23/2023
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