| Family Care Of Wauseon Llc | |
|
368 W Elm St Wauseon OH 43567-1164 | |
| (419) 335-4600 | |
| (416) 335-4900 |
| Full Name | Family Care Of Wauseon Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 368 W Elm St, Wauseon, Ohio |
| Authorized Official Name and Position | Nizar Daboul (PARTNER) |
| Authorized Official Contact | 4198667166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Of Wauseon Llc Po Box 351328 Toledo OH 43635-1328 Ph: (419) 335-4600 | Family Care Of Wauseon Llc 368 W Elm St Wauseon OH 43567-1164 Ph: (419) 335-4600 |
| NPI Number | 1164731493 |
|---|---|
| Provider Enumeration Date | 10/05/2010 |
| Last Update Date | 03/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164731493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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