Individual
DR. JERRY L TITKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
7344 HAMILTON AVE, CINCINNATI, OH 45231
(513) 729-4455
(513) 728-4861
Mailing address
7344 HAMILTON AVE, CINCINNATI, OH 45231
(513) 729-4455
(513) 728-4861
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1359
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8810255
—
OH
Enumeration date
08/23/2005
Last updated
04/22/2013
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