Organization
FAMILY CARE OF WAUSEON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIZAR DABOUL MD (PARTNER)
(419) 866-7166
Entity
Organization
Contact information
Practice address
368 W ELM ST, WAUSEON, OH 43567-1164
(419) 335-4600
(416) 335-4900
Mailing address
PO BOX 351328, TOLEDO, OH 43635-1328
(419) 335-4600
(416) 335-4900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/05/2010
Last updated
03/04/2011
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