Christ John Ticoras, M.D.

NPI #1821099615 in Mansfield, Ohio

Provider Information

NPI Number: 1821099615
Entity Type: Individual
Name: Christ John Ticoras, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: M.D.
Enumeration Date: Aug 3, 2005
Last Updated: Jun 22, 2010

Practice Location

Address: 770 BALGREEN DR
Address 2: STE 201
City: Mansfield
State: Ohio
ZIP Code: 44906-4106
Phone: (419) 756-1600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary
Dermatology - Procedural Dermatology — Procedural Dermatology	207NS0135X

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