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Organization
ERIE MEDICAL REVIEW LLC
Active
Organization
ERIE MEDICAL REVIEW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL ROBERT FIAL CNP, ACNPC-AG, RN-BC (NURSE PRACTITIONER)
(419) 271-8467
Entity
Organization
Contact information
Practice address
900 W BOGART RD, SANDUSKY, OH 44870-7301
(419) 271-8467
(310) 361-0429
Mailing address
900 W BOGART RD, SANDUSKY, OH 44870-7301
(419) 271-8467
(310) 361-0429
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
173000000X
Legal Medicine
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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