Individual
SANFORD M TIMEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5400 TRANSPORTATION BLVD, SUITE 11, GARFIELD HTS, OH 44125-5324
(216) 662-9363
Mailing address
PO BOX 567, CHAGRIN FALLS, OH 44022-0567
(216) 464-5160
(216) 464-5982
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35043345
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0419292
—
OH
Enumeration date
08/09/2005
Last updated
07/09/2007
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