Individual
DR. TIMOTHY WILLIAM DAKE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3131 QUEEN CITY AVE, CINCINNATI, OH 45238-2316
(513) 557-3333
(513) 557-3332
Mailing address
1472 SOLUTIONS CTR, CHICAGO, IL 60677-1004
(513) 557-3333
(513) 557-3332
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35-092665
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200960420
—
IN
05
—
2936023
—
OH
05
—
710085840
—
KY
Enumeration date
02/25/2008
Last updated
11/11/2010
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