Individual
DANIEL TETIRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 NORTHMOOR PL, COLUMBUS, OH 43214-3610
(614) 263-8563
Mailing address
100 NORTHMOOR PL, COLUMBUS, OH 43214-3610
(614) 263-8563
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
35048108
OH
2084P0800X
Psychiatry Physician
Primary
4301097569
MI
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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