# MEMORIAL PROFESSIONAL SERVICES LTD

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MEMORIAL HOSPITAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1205139623
- **Legal business name:** MEMORIAL HOSPITAL
- **Authorized official:** ROBERT W LITTELMANN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (419) 334-6661

## Contact information

- **Practice address:** 715 S TAFT AVE, FREMONT, OH 43420-3200
- **Practice address phone:** (419) 332-7321
- **Mailing address:** 715 S TAFT AVE, FREMONT, OH 43420-3200
- **Mailing address phone:** (419) 332-7321

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | Yes |
| 207RP1001X | Pulmonary Disease Physician | — | — | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 2080P0208X | Pediatric Infectious Diseases Physician | — | NULL | — |
| 2080P0208X | Pediatric Infectious Diseases Physician | — | — | — |

## Other

- **Enumeration date:** 12/07/2010
- **Last updated:** 12/23/2015