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Specialty details in registry · Tiffin, OH

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At a glance

36 Fair Ln, Tiffin, OH 44883-2543

NPPES record updated Jul 30, 2026. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

36 Fair Ln
Tiffin, OH 44883-2543

Additional reported practice locations

1605 Holland Rd
Maumee, OH 435371630
Phone: 5672580030
602 S Corporate Dr W
Fostoria, OH 448309456
Phone: 5672580030
541 W Market St
Tiffin, OH 448832572
Phone: 5672580030
Professional details: NPI, taxonomy & registry record
NPI1124941067
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
251C00000X
Enumeration date
Jul 30, 2026
Record updated
Jul 30, 2026
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

251C00000X · Primary

Specialty details in registry

251E00000X

Specialty details in registry

343900000X

Specialty details in registry

347C00000X

Specialty details in registry

385H00000X

Specialty details in registry

385HR2060X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

36 Fair Ln
Tiffin, OH 44883-2543
Phone
(567) 258-0030
Mailing address
36 FAIR LN

TIFFIN, OH 448832543
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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