Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | OH30018283 | OH |
NPI | 1043397516 |
---|---|
Provider Name | Dr. Timothy William Schiller |
First Address | Cincinnati, OH 45230 |
Second Address | Cincinnati, OH 45230 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U31416 | (02) |