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Individual

DR. MICHAEL W TEMPLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4141 NORTH HAMPTON DR, SUITE 103, POWELL, OH 43065-7063
(614) 764-9955
(740) 615-2849
Mailing address
L-3401, COLUMBUS, OH 43260-3401
(740) 615-1324
(740) 615-1344

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
35-07-3261-T
OH
208000000X
Pediatrics Physician
Primary
353073261
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2136067
OH
Enumeration date
08/01/2006
Last updated
02/01/2011
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