# FAUSTER CAMERON INC., DBA DEFIANCE CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Continental Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659573046
- **Authorized official:** MR. CHAD L PETER (CEO)
- **Authorized official phone:** (419) 784-1414

## Contact information

- **Practice address:** 102 WEST ASH ST, CONTINENTAL, OH 45831
- **Practice address phone:** (419) 596-3133
- **Mailing address:** 102 WEST ASH ST, CONTINENTAL, OH 45831
- **Mailing address phone:** (419) 596-3133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/05/2007
- **Last updated:** 08/22/2020