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Individual

TODD E WHITAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2250 N BANK DR, COLUMBUS, OH 43220-5420
(614) 451-7550
(614) 451-8642
Mailing address
2250 N BANK DR, COLUMBUS, OH 43220-5420
(614) 451-7550
(614) 451-8642

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35.073357
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000116977
ANTHEM BC BS
OH
01
0351310001
DMERC REGION B
OH
01
180042380
RAILROAD MEDICARE
OH
05
2155902
OH
01
368523492002
MEDICAL MUTUAL
OH
Enumeration date
05/31/2006
Last updated
06/14/2023
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