Individual
BRIAN G COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
27 ST LAWRENCE DR STE 103, TIFFIN, OH 44883-8313
(419) 448-4622
(419) 448-4804
Mailing address
27 ST LAWRENCE DR STE 103, TIFFIN, OH 44883-8313
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01040465A
IN
207Q00000X
Family Medicine Physician
Primary
35-06-6562-C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0967271
—
OH
Enumeration date
06/24/2005
Last updated
05/13/2026
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