Organization
BOWLING GREEN CLINIC, INC.
Active
Parent organization
WOOD HEALTH COMPANY, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WOOD HEALTH COMPANY, LLC
Authorized official
MOHAMMAD SIDIQ M.D. (PRESIDENT)
(419) 352-1121
Entity
Organization
Contact information
Practice address
1039 HASKINS RD, BOWLING GREEN, OH 43402-9065
(419) 352-1121
(419) 352-1179
Mailing address
745 HASKINS RD STE B, BOWLING GREEN, OH 43402-1600
(419) 353-7018
(419) 353-7018
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2344529
—
OH
Enumeration date
11/17/2006
Last updated
01/09/2008
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