Doctor Name: | DR. DANIEL TINMAN |
NPI Number: | 1902103153 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 35-03-9542-T |
Business Practice Address: | 1582 W San Marcos Blvd Ste 100 San Marcos, CA - 920784081 |
Business Phone Number: | 7605919975 |
Business Fax Number: | |
Mailing Address: | 2656 Hampshire Rd, CLEVELAND HEIGHTS |
State: | OH |
Postal Code: | 441062511 |
Phone Number: | 2163214273 |
Fax Number: | |
NPI Enumeration Date: | 02/24/2011 |
NPI Last Update Date: | 10/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 35-03-9542-T |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |