Healthcare Provider Details

I. General information

NPI: 1588027197
Provider Name (Legal Business Name): TIFFIN FAMILY CARE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2016
Last Update Date: 07/01/2021
Certification Date: 07/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 TALL GRASS AVE
TIFFIN IA
52340
US

IV. Provider business mailing address

1110 TALL GRASS AVE
TIFFIN IA
52340-4753
US

V. Phone/Fax

Practice location:
  • Phone: 319-545-2222
  • Fax: 319-545-2365
Mailing address:
  • Phone: 319-545-2222
  • Fax: 319-545-2365

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER E DUNN
Title or Position: OWNER
Credential: MD
Phone: 319-545-2222