| Doctor Name: | DR. SAM ERNEST TOCHTENHAGEN |
| NPI Number: | 1326240722 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 35020555T |
| Business Practice Address: | 410 2nd St Mc Donald, OH - 444371549 |
| Business Phone Number: | 3305305587 |
| Business Fax Number: | |
| Mailing Address: | 410 2nd St, MC DONALD |
| State: | OH |
| Postal Code: | 444371549 |
| Phone Number: | 3305305587 |
| Fax Number: | |
| NPI Enumeration Date: | 06/05/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | 35020555T |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |