Individual
TODD J HIXENBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
658 W MARKET ST STE 201, LIMA, OH 45801-5609
(419) 303-6528
Mailing address
2790 SHAGBARK DR, LIMA, OH 45806-1636
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35050679H
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0565795
—
OH
Enumeration date
05/27/2006
Last updated
03/14/2023
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