Individual
TIMOTHY M HUSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4235 SECOR RD, TOLEDO, OH 43623-4231
(419) 479-5500
Mailing address
4235 SECOR RD, TOLEDO, OH 43623-4231
(419) 479-5500
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35061299H
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0836966
—
OH
Enumeration date
07/26/2005
Last updated
05/25/2011
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