| Dr Daniel Kelderhouse Inc | |
|
201 S Park Ave Fremont OH 43420-2953 | |
| (419) 334-8941 | |
| Not Available |
| Full Name | Dr Daniel Kelderhouse Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 201 S Park Ave, Fremont, Ohio |
| Authorized Official Name and Position | Ellen Morris (OFFICE MGR) |
| Authorized Official Contact | 4193348941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Daniel Kelderhouse Inc 201 S Park Ave Fremont OH 43420-2953 Ph: (419) 334-8941 | Dr Daniel Kelderhouse Inc 201 S Park Ave Fremont OH 43420-2953 Ph: (419) 334-8941 |
| NPI Number | 1235318288 |
|---|---|
| Provider Enumeration Date | 10/26/2007 |
| Last Update Date | 02/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235318288 | NPI | - | NPPES |
| 0519782 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34-00-3555 (Ohio) | Primary |
| 208D00000X | General Practice | 34-00-3555 (Ohio) | Secondary |
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