Doctor Name: | TIMOTHY M. TUTHILL |
NPI Number: | 1598714958 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 35030473T |
Business Practice Address: | 6559 Wilson Mills Rd Suite 106 Mayfield Village, OH - 441436402 |
Business Phone Number: | 4404491540 |
Business Fax Number: | 4404602833 |
Mailing Address: | 6559 Wilson Mills Rd, Suite 106 CLEVELAND |
State: | OH |
Postal Code: | 441436402 |
Phone Number: | 4404491540 |
Fax Number: | 4404602833 |
NPI Enumeration Date: | 05/10/2006 |
NPI Last Update Date: | 12/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 35030473T |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |