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Individual

DR. MICHAEL J TIMPONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2145 N FAIRFIELD RD STE 100, BEAVERCREEK, OH 45431-2783
(937) 558-3900
(937) 558-3999
Mailing address
2145 N FAIRFIELD RD STE 100, BEAVERCREEK, OH 45431-2783
(937) 558-3900
(937) 558-3999

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35040869T
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0340385
OH
Enumeration date
09/17/2006
Last updated
04/14/2025
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