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Individual

TIFFANY JANELLE WINCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
401 MATTHEW ST, EMERGENCY DEPARTMENT, MARIETTA, OH 45750-1635
(740) 374-1400
(740) 374-1693
Mailing address
PO BOX 449, 418 1/2 COLEGATE DRIVE, MARIETTA, OH 45750-0449
(740) 374-4500
(740) 374-5887

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1644-850
WI
207P00000X
Emergency Medicine Physician
Primary
35120651
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0079316
OH
05
3810025619
WV
01
P01259806
RAILROAD MEDICARE - MHCPI
OH
Enumeration date
10/16/2006
Last updated
02/26/2014
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