Individual
DR. THOMAS M SHIRCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4925 BRADENTON AVE, SUITE C, DUBLIN, OH 43017-7532
(614) 336-7666
(614) 336-7682
Mailing address
4925 BRADENTON AVE, SUITE C, DUBLIN, OH 43017-7532
(614) 336-7666
(614) 336-7682
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
34002905
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0489350
—
OH
Enumeration date
07/06/2006
Last updated
07/09/2007
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