Individual
DALE R THOMAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2212 MIFFLIN AVE, SUITE 220, ASHLAND, OH 44805-8848
(419) 289-6317
(419) 207-2658
Mailing address
2212 MIFFLIN AVE, SUITE 220, ASHLAND, OH 44805-8848
(419) 289-6317
(419) 207-2658
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34005824
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0987544
—
OH
Enumeration date
01/10/2006
Last updated
12/11/2020
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