Individual provider · Type 1 NPI

Timothy R. Halstead, P.A.-C

Surgical Physician Assistant · Sandusky, OH

NPI number 1952304651 Active

Practice location

703 Tyler St. Suite 252
Sandusky, OH 44870

Fax (419) 609-8002

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X50001298 (OH)

Surgical Physician Assistant: Definition to come...

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About NPI 1952304651

Timothy R. Halstead, P.A.-C's National Provider Identifier is 1952304651, issued on May 27, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Sandusky, OH. The record was last updated on Sep 7, 2012.