# BOWLING GREEN CLINIC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WOOD HEALTH COMPANY, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1053485607
- **Legal business name:** WOOD HEALTH COMPANY, LLC
- **Authorized official:** MOHAMMAD SIDIQ M.D. (PRESIDENT)
- **Authorized official phone:** (419) 352-1121

## Contact information

- **Practice address:** 1039 HASKINS RD, BOWLING GREEN, OH 43402-9065
- **Practice address phone:** (419) 352-1121
- **Practice address fax:** (419) 352-1179
- **Mailing address:** 745 HASKINS RD STE B, BOWLING GREEN, OH 43402-1600
- **Mailing address phone:** (419) 353-7018
- **Mailing address fax:** (419) 353-7018

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/17/2006
- **Last updated:** 01/09/2008