Individual
TRENT EDWARD TIPPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 S 18TH ST, COLUMBUS, OH 43205-2654
(614) 722-4559
(614) 722-4541
Mailing address
555 S 18TH ST, COLUMBUS, OH 43205-2654
(614) 722-4559
(614) 722-4541
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
35080664
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2411625
—
OH
Enumeration date
04/01/2006
Last updated
12/02/2008
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