Individual provider · Type 1 NPI

Stephen Robert Tisdale, MSPAS, PA-C

Physician Assistant · Toledo, OH

NPI number 1790212728 Active

Practice location

2865 N Reynolds Rd Bldg A
Toledo, OH 43615-2100

Call (419) 578-7200 Map

Fax (419) 537-5600

Mailing address

16925 Waterloo Rd
Chelsea, MI 48118-9021

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X5601008212 (MI)
Physician Assistant Primary 363A00000X50.008487RX (OH)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1790212728

Stephen Robert Tisdale, MSPAS, PA-C's National Provider Identifier is 1790212728, issued on May 22, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Toledo, OH. The record was last updated on Nov 21, 2023.