Individual
DR. HENRY TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
440 DANBURY LN, STE A, COPLEY, OH 44321-2963
(216) 650-2542
(866) 436-5298
Mailing address
440 DANBURY LN, A, COPLEY, OH 44321-2963
(216) 650-2542
(886) 436-5298
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35 042047
OH
207R00000X
Internal Medicine Physician
4301082941
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0781444
—
OH
05
—
4847591
—
MI
Enumeration date
08/02/2006
Last updated
02/27/2009
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