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Individual

DR. ABDEL KADER TAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
900 W SOUTH BOUNDARY ST BLDG 9A, PERRYSBURG, OH 43551-5245
(419) 873-6963
(419) 873-6964
Mailing address
900 W SOUTH BOUNDARY ST BLDG 9A, PERRYSBURG, OH 43551-5245
(419) 873-6963
(419) 873-6964

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
4301089516
MI
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
35124449
OH
207ND0900X
Dermatopathology Physician
4301089516
MI
207NS0135X
Procedural Dermatology Physician
4301089516
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
35.124449
STATE LICENSE NUMBER
OH
Enumeration date
06/18/2007
Last updated
05/24/2022
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