Organization
DEFIANCE REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL KOENIG (CFO)
(419) 783-4405
Entity
Organization
Contact information
Practice address
1200 RALSTON AVE, DEFIANCE, OH 43512-1396
(419) 783-6955
Mailing address
PO BOX 633762, CINCINNATI, OH 45263-0001
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04294
PARAMOUNT
—
Enumeration date
12/28/2007
Last updated
12/28/2007
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