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Individual

LOUIS ANTHONY TARTAGLIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1661 HOLLAND RD, SUITE 200, MAUMEE, OH 43537
(419) 843-7800
(419) 843-3444
Mailing address
1661 HOLLAND RD, SUITE 200, MAUMEE, OH 43537
(419) 843-7800
(419) 843-3444

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
069554
OH
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
35069554
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2620426
OH
01
P00261162
MEDICARE RAILRAOD
OH
Enumeration date
11/10/2005
Last updated
09/23/2016
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