# BLANCHARD VALLEY MEDICAL PRACTICE LLC

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

## Provider details

- **NPI number:** 1962501627
- **Authorized official:** DAVID CYTLAK (VP)
- **Authorized official phone:** 41944235497

## Contact information

- **Practice address:** 1900 SOUTH MAIN STREET, FINDLAY, OH 45840-1239
- **Practice address phone:** (419) 423-4500
- **Practice address fax:** (419) 423-5550
- **Mailing address:** 1900 S MAIN ST, FINDLAY, OH 45840-1214
- **Mailing address phone:** (419) 423-4500
- **Mailing address fax:** (419) 423-5550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 2084N0400X | Neurology Physician | 35088792 | OH | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 09/19/2013