is a Specialist in Fremont, Ohio. practices all healthcare services and medical treatments related to Specialist. The NPI Number for is 1316104102. The last update date is .
's current location address is 1320 E State St, Fremont, Ohio. You can contact this provider via phone number 4193326840 and fax number 4193326929. The mailing address for is 1320 E State St, Fremont, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1320 E State St, Fremont, Ohio |
| Phone Number | 4193326840 |
| Fax Number | 4193326929 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1316104102 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1320 E State St |
|---|---|
| City | Fremont |
| State | Ohio (OH) |
| Post Code | 434204365 |
| Phone Number | 4193326840 |
| Fax Number | 4193326929 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 16520 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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