Organization
WILFREDO A TIU MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILFREDO A TIU MD (OWNER)
(304) 233-2455
Entity
Organization
Contact information
Practice address
30 MEDICAL PARK, SUITE 223, WHEELING, WV 26003
(304) 233-2466
(304) 233-6073
Mailing address
PO BOX 6129, WHEELING, WV 26003-0711
(304) 233-2455
(304) 233-6073
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
09322
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101400000
—
WV
05
—
0107851
—
OH
Enumeration date
05/01/2007
Last updated
10/19/2007
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