Basic Information
| Provider Information | |||||||||
| NPI: | 1376593186 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TUEL | ||||||||
| FirstName: | MARC | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9641 WATERFORD PL | ||||||||
| Address2: | #208 | ||||||||
| City: | LOVELAND | ||||||||
| State: | OH | ||||||||
| PostalCode: | 451406239 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5132396262 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 10506 MONTGOMERY RD | ||||||||
| Address2: | SUITE 209 | ||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452424487 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5133895222 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/11/2006 | ||||||||
| LastUpdateDate: | 01/24/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 038985 | CT | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | 1112 | SC | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.