Individual
MICHAEL ULLAND TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5555 GLENWAY AVE, CINCINNATI, OH 45238-3445
(513) 952-5930
(513) 952-5928
Mailing address
5555 GLENWAY AVE, CINCINNATI, OH 45238-3445
(513) 952-5930
(513) 952-5928
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35070241T
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0266751
—
OH
01
—
P00754846
MEDICARE RR
OH
Enumeration date
12/30/2005
Last updated
07/29/2024
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