Individual
MR. MICHAEL FRANCIS TATKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9471 MARKET ST STE A, NORTH LIMA, OH 44452-8702
(330) 726-7100
(330) 758-0347
Mailing address
9471 MARKET ST STE A, NORTH LIMA, OH 44452-8702
(330) 726-7100
(330) 758-0347
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.005998RX
OH
363A00000X
Physician Assistant
MA001555L
PA
Other
Enumeration date
07/14/2005
Last updated
09/10/2019
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