# GASTROENTEROLOGY AND HEPATOLOGY OF NORTHWEST OH

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

## Provider details

- **NPI number:** 1649966698
- **Authorized official:** LISA SIMS (MA)
- **Authorized official phone:** (567) 289-9039

## Contact information

- **Practice address:** 658 W MARKET ST STE 117, LIMA, OH 45801-4697
- **Practice address phone:** (567) 289-9039
- **Practice address fax:** (937) 949-2707
- **Mailing address:** 658 W MARKET ST STE 117, LIMA, OH 45801-4697
- **Mailing address phone:** (567) 289-9039
- **Mailing address fax:** (937) 949-2707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/13/2023
- **Last updated:** 04/13/2023