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Organization
WAUSEON CLINIC CORP
Active
Organization
WAUSEON CLINIC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD JOHN GRIESER MD (PRESIDENT)
(419) 335-7921
Entity
Organization
Contact information
Practice address
495 S SHOOP AVE, WAUSEON, OH 43567-1719
(419) 335-7921
(419) 337-5988
Mailing address
PO BOX 418, WAUSEON, OH 43567-0418
(419) 335-7921
(419) 337-5988
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0646340
—
OH
Enumeration date
08/08/2007
Last updated
02/01/2008
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