Individual
BRYAN W TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 ZOLLINGER RD FL 2, COLUMBUS, OH 43221-2800
(614) 293-8536
(614) 293-8902
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-8536
(614) 293-8902
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
35086611
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2987513
—
OH
Enumeration date
07/03/2006
Last updated
11/16/2020
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