Individual
TIMOTHY BRANDON MAIDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(419) 291-4491
(419) 479-6905
Mailing address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(419) 291-4000
(419) 479-6905
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.019685
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0283464
—
OH
Enumeration date
05/09/2018
Last updated
08/08/2019
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