JACOB TISEVICH

MIAMISBURG, OH
NPI1811508914
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OH  50.006640RX)
Enumeration Date2020-08-12
Last Update Date2020-09-21
Business Address
JACOB TISEVICH PA
2835 MIAMI VILLAGE DR
MIAMISBURG, OH 45342-4916
Phone number: 937-449-0796
Mailing Address
JACOB TISEVICH PA
6480 HARRISON AVE STE 201
CINCINNATI, OH 45247-7961
Phone number: 513-354-7650