SearchOhio152W00000X

Timothy Mack

NPI 1225442767 · on the registry since 2014 · sole proprietor

Practice

Address
7990 Severhill Ct
Dublin, OH 43016
Phone
(614) 946-1453

Registry record

Primary taxonomy
152W00000X
152W00000X
Also registered as
152WC0802X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-06-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio