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Individual

DR. MARTIN LOUIS MCTIGHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6480 HARRISON AVENUE, SUITE 100, CINCINNATI, OH 45247
(513) 354-3700
(513) 354-7601
Mailing address
6480 HARRISON AVENUE, SUITE 100, CINCINNATI, OH 45241-5453
(513) 354-3700
(513) 354-7601

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35-03-3599
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000074014
ANTHEM
OH
05
0261176
OH
01
0900622
UNITED HEALTH CARE
OH
01
200035385
MEDICARE RAILROAD
OH
01
2165398
AETNA
OH
01
33599
HUMANA
OH
01
409856
WELLCARE
OH
Enumeration date
10/31/2005
Last updated
02/03/2010
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