Organization
MEMORIAL PROFESSIONAL SERVICES LTD
Active
Parent organization
MEMORIAL HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL HOSPITAL
Authorized official
ROBERT W LITTELMANN (EXECUTIVE DIRECTOR)
(419) 334-6661
Entity
Organization
Contact information
Practice address
715 S TAFT AVE, FREMONT, OH 43420-3200
(419) 332-7321
Mailing address
715 S TAFT AVE, FREMONT, OH 43420-3200
(419) 332-7321
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
2080P0208X
Pediatric Infectious Diseases Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3109791
—
OH
Enumeration date
12/07/2010
Last updated
12/23/2015
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