Individual
MOLLY JOAN OSTERHAGE TILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5501 FAR HILLS AVE STE 200, DAYTON, OH 45429-2203
(937) 436-2866
(937) 436-1468
Mailing address
PO BOX 933432, CLEVELAND, OH 44193-0039
(937) 641-5072
(937) 641-6129
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35.144736
OH
208000000X
Pediatrics Physician
Primary
35.144736
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012924
—
OH
05
—
0356702
—
OH
Enumeration date
04/14/2019
Last updated
01/20/2026
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