Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 35.142493 | OH |
NPI | 1013363506 |
---|---|
Provider Name | Dr. Timothy Vincent Feldheim |
First Address | Loveland, OH 45140-7300 |
Second Address | Loveland, OH 45140-7300 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2016 |
Last Update Date | 01/07/2021 |