Individual
DR. JANE A BROERING AMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD,
Contact information
Practice address
1627 HENTHORNE DR, SUITE B, MAUMEE, OH 43537-1370
(419) 866-8232
(419) 866-8233
Mailing address
1627 HENTHORNE DR, SUITE B, MAUMEE, OH 43537-1370
(419) 866-8232
(419) 866-8233
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
34064493
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0163255
—
OH
Enumeration date
11/20/2006
Last updated
08/20/2015
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