Western Lake Erie Oms Ltd.

NPI 1538380662 - Specialist - 174400000X

NPI Details
NPI 1538380662
Enumeration Date 05/02/2007
Last Updated 09/10/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name STEPHEN MARK STEPHEN
Position PRESIDENT
Phone (419) 479-3939
Fax (419) 479-3933
Practice Location
5690 MONROE ST
SYLVANIA OH, 43560-2736, US
Phone (419) 479-3939
Fax (419) 479-3933
Business Location
5690 MONROE ST
SYLVANIA OH, 43560-2736, US
Phone (419) 479-3939
Fax (419) 479-3933
Toxanomy
Taxonomy Code 174400000X
License State Ohio
License Number 1130029
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According to our database, Western Lake Erie Oms Ltd. NPI is 1538380662, taxonomy code is 174400000X and license number is 1130029, license state is located at Ohio. Western Lake Erie Oms Ltd. physically located at 5690 Monroe St, Sylvania OH, 43560-2736. NPI Number 1033115704 has the healthcare provider type.

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1538380662 NPI number is provided on an as is basis without warranty of any kind. 1538380662 is maintained by the National Plan & Provider Enumeration System. The contents of Western Lake Erie Oms Ltd. are for informational purposes only.