Individual
MR. TIMOTHY RAY WHERLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
658 BOULEVARD ST, DOVER, OH 44622-2027
(330) 364-5024
(330) 364-2729
Mailing address
658 BOULEVARD ST, DOVER, OH 44622-2027
(330) 364-5024
(330) 364-2729
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
4918-S
OH
Other
Enumeration date
05/05/2006
Last updated
08/15/2008
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