Individual
FREDERICK L TANZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1275 N HIGH ST, HILLSBORO, OH 45133-8273
(937) 393-6100
Mailing address
PO BOX 298, HILLSBORO, OH 45133-0298
(513) 543-3746
(513) 247-9284
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35058692
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000361503
BCBS
—
05
—
0904721
—
OH
01
—
P00241472
RAIL ROAD MEDICARE
—
Enumeration date
05/03/2006
Last updated
08/24/2023
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