Organization
VAN WERT MEDICAL SERVICES, LTD.
Active
Parent organization
VAN WERT MEDICAL SERVICES, LTD.
Other names
Van Wert Medical Services - DME
Organization subpart
Yes
Provider details
NPI number
Legal business name
VAN WERT MEDICAL SERVICES, LTD.
Authorized official
MICHAEL T HOLLIDAY (VP FISCAL & ADMINISTRATIVE SERVICES)
(419) 238-2390
Entity
Organization
Contact information
Practice address
140 FOX RD, SUITE 104, VAN WERT, OH 45891-2475
(419) 232-5291
(419) 232-5292
Mailing address
140 FOX RD, SUITE 202, VAN WERT, OH 45891-2475
(419) 238-6735
(419) 232-5271
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
213E00000X
Podiatrist
Primary
36003593
OH
Other
Enumeration date
03/13/2013
Last updated
11/07/2016
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