Individual
DOMINIC WAI-HO TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
16000 PEARL RD, # 208, STRONGSVILLE, OH 44136-6082
(440) 572-3020
Mailing address
PO BOX 39578, SOLON, OH 44139-0578
(440) 572-3020
(216) 765-8401
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35043641
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0426640
—
OH
Enumeration date
10/10/2006
Last updated
08/29/2017
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