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Organization
BELLEVUE PROFESSIONAL SERVICES, INC.
Active
Organization
BELLEVUE PROFESSIONAL SERVICES, INC.
Active
Other names
Great lakes Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
TIM BUIT (CEO)
(419) 483-4040
Entity
Organization
Contact information
Practice address
1400 W MAIN ST, BLDG 1, SUITE A, BELLEVUE, OH 44811-9429
(419) 483-2494
(419) 483-3224
Mailing address
PO BOX 638775, CINCINNATI, OH 45263-8775
(800) 514-4390
(440) 808-3675
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34012014
OH
207Q00000X
Family Medicine Physician
35090068
OH
207V00000X
Obstetrics & Gynecology Physician
34009034
OH
207V00000X
Obstetrics & Gynecology Physician
Primary
35068821
OH
207V00000X
Obstetrics & Gynecology Physician
35127940
OH
207X00000X
Orthopaedic Surgery Physician
34006462
OH
Other
Enumeration date
03/15/2006
Last updated
10/23/2023
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