Individual
DR. MARILYN C TIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15549 STATE ROUTE 170, UNIT #5, EAST LIVERPOOL, OH 43920-9216
(330) 385-1477
(330) 385-1485
Mailing address
15549 STATE ROUTE 170, UNIT #5, EAST LIVERPOOL, OH 43920-9216
(330) 385-1477
(330) 385-1485
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.071087
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000554885
ANTHEM BLUE SHIELD
OH
05
—
0231841
—
OH
01
—
1806610000
WEST VIRGINIA MEDICAID
WV
Enumeration date
03/09/2006
Last updated
04/02/2008
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