Organization
RIVERVIEW FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEXTER M GENSOLIN M.D. (PRESIDENT)
(419) 592-0800
Entity
Organization
Contact information
Practice address
1600 E RIVERVIEW AVE STE 107, NAPOLEON, OH 43545-9806
(419) 592-0800
(419) 592-0815
Mailing address
1600 E RIVERVIEW AVE STE 107, NAPOLEON, OH 43545-9806
(419) 592-0800
(419) 592-0815
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
35079093
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942319652
NPI FOR D M GENSOLIN
—
Enumeration date
09/25/2007
Last updated
01/09/2012
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