# FREMONT FAMILY MEDICINE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124211172
- **Authorized official:** MRS. DENISE K WOOLLEY CPMSP, CPCS (DIRECTOR, MEDICAL STAFF SERVICES)
- **Authorized official phone:** (419) 334-6624

## Contact information

- **Practice address:** 1916 GLEN SPRINGS DR, FREMONT, OH 43420-3293
- **Practice address phone:** (419) 332-4223
- **Practice address fax:** (419) 332-9099
- **Mailing address:** 1916 GLEN SPRINGS DR, FREMONT, OH 43420-3293
- **Mailing address phone:** (419) 332-4223
- **Mailing address fax:** (419) 332-9099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 35-084980 | OH | Yes |

## Other

- **Enumeration date:** 08/23/2007
- **Last updated:** 10/21/2014