Fallen Timbers Internal Medicine, LLC

NPI #1205986247 in Maumee, Ohio

Provider Information

NPI Number: 1205986247
Entity Type: Organization
Organization Name: Fallen Timbers Internal Medicine, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jan 11, 2007
Last Updated: Nov 14, 2007

Practice Location

Address: 6450 WHEATSTONE CT
City: Maumee
State: Ohio
ZIP Code: 43537-9402
Phone: (419) 866-6200

Authorized Official

Name: DR. NIZAR Y DABOUL, MD
Title: OWNER PRESIDENT
Phone: (419) 866-6200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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