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NPI Profile for TIMOTHY R HALSTEAD in SANDUSKY, OH.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant |
| NPI # | 1952304651 |
|
| Status | Active | |
| Credentials | P.A.-C | |
| Entity | Individual | |
| Enumeration date | 05/27/2005 | |
| Last updated | 09/07/2012 - About 14 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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TIMOTHY R HALSTEAD
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TIMOTHY R HALSTEAD, P.A.-C