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Organization
PERRYSBURG FT MEIGS FAMILY PRACTICE
Active
Organization
PERRYSBURG FT MEIGS FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZETTE L HUENEFELD M.D. (OWNER)
(419) 872-0242
Entity
Organization
Contact information
Practice address
27511 HOLIDAY LN STE 101, PERRYSBURG, OH 43551-5315
(419) 872-0242
(419) 872-1238
Mailing address
27511 HOLIDAY LN STE 101, PERRYSBURG, OH 43551-5315
(419) 872-0242
(419) 872-1238
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35067770
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2051363
—
OH
Enumeration date
03/26/2007
Last updated
02/01/2008
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