Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | DOO65330 | MD |
NPI | 1558560292 |
---|---|
Provider Name | Dr. Brian Joseph Tscholl |
First Address | Upper Arlington, OH 43220-2246 |
Second Address | Upper Arlington, OH 43220-2246 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2007 |
Last Update Date | 09/12/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2820068 | (05) | OH |