Individual
DR. JOHN DOMINIC CREDICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2751 BAY PARK DR, SUITE 304, OREGON, OH 43616-4921
(419) 690-7611
(419) 691-1511
Mailing address
2751 BAY PARK DR, SUITE 304, OREGON, OH 43616-4921
(419) 690-7611
(419) 691-1511
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
35053584
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0601405
—
OH
Enumeration date
09/07/2005
Last updated
03/11/2008
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