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Dr. Christopher L Tisdel, MD
Specialist in Ravenna, Ohio
NPI 1548239080

Christopher L Tisdel is a Specialist based in Pontiac, OH. Christopher L Tisdel practices in Ravenna, OH and has the professional credentials of MD. The NPI Number for Christopher L Tisdel is 1548239080 and holds a License No. 081413 (Ohio).

The current practice location address for Christopher L Tisdel is 6847 N Chestnut St Ste 105, Ravenna, OH and can be reached out via phone at 330-297-6030 and via fax at 330-297-4919.

Location: 6847 N Chestnut St Ste 105, Ravenna, OH, 48341-5036
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548239080
Provider Name
Christopher L Tisdel
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6847 N Chestnut St Ste 105, Ravenna, OH, 48341-5036
Phone Number
330-297-6030
Fax Number
330-297-4919
Provider Enumeration Date
03/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0630027 01 MI BLUE CROSS/BLUE SHIELD
4513256 05 MI
institution
Provider Business Practice Location Address Details
Address
6847 N Chestnut St Ste 105
City
Ravenna
State
Ohio
Zip
44266-3929
Phone Number
330-297-6030
Fax Number
330-297-4919
person
Provider Business Mailing Address Details
Address
6847 N Chestnut St Ste 105
City
Ravenna
State
Ohio
Zip
44266-3929
Phone Number
330-297-6030
Fax Number
330-297-4919
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
081413 (Michigan)
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.
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