Doctor Name: | JOI ROBINSON TIDMORE |
NPI Number: | 1053427385 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 35-080017 |
Business Practice Address: | 36001 Euclid Avenue C7 Willoughby, OH - 44094 |
Business Phone Number: | 4406026710 |
Business Fax Number: | 4402698107 |
Mailing Address: | Po Box 781389, DETROIT |
State: | MI |
Postal Code: | 482781389 |
Phone Number: | 8003541985 |
Fax Number: | 4403504938 |
NPI Enumeration Date: | 08/21/2006 |
NPI Last Update Date: | 08/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 35-080017 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |