Individual
DR. NEAL DAVID TISHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2235 MAHONING RD, LAKE MILTON, OH 44429-9562
(724) 699-8625
Mailing address
2235 MAHONING RD, LAKE MILTON, OH 44429-9562
(724) 699-8625
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34-00-4525
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0720170
—
OH
Enumeration date
08/26/2005
Last updated
12/14/2012
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