Individual
TIMOTHY R HALSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
703 TYLER ST. SUITE 252, SANDUSKY, OH 44870
(419) 609-8000
(419) 609-8002
Mailing address
703 TYLER ST. SUITE 252, SANDUSKY, OH 44870
(419) 609-8000
(419) 609-8002
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50001298
OH
Other
Enumeration date
05/27/2005
Last updated
09/07/2012
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