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Organization

OREGON URGENT CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JACK G SIEBENALER II M.D. (OWNER)
(419) 691-0636
Entity
Organization

Contact information

Practice address
3232 NAVARRE, OREGON, OH 41616-7074
(419) 691-0636
(419) 693-1412
Mailing address
3232 NAVARRE, OREGON, OH 41616-7074
(419) 691-0636
(419) 693-1412

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
35053850S
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0636539
OH
Enumeration date
10/04/2006
Last updated
08/22/2020
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