Individual
LARRY M TINCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
629 SANDUSKY AVE, BUCYRUS, OH 44820-1821
(419) 562-4677
(419) 562-0987
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4231
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35069322
OH
207Q00000X
Family Medicine Physician
Primary
35069322
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000316698
BCBS FOR BUCYRUS
OH
01
—
000000384730
BCBS
—
05
—
0188658
—
OH
05
—
2054913
—
OH
01
—
P00097358
RR MEDICARE FOR BUCYRUS
—
Enumeration date
04/26/2006
Last updated
06/29/2020
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