Individual
MS. ELIZABETH RENEE ICKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3401 WELLNESS WAY STE A3, FINDLAY, OH 45840-9547
(419) 420-7304
(419) 420-7317
Mailing address
3401 WELLNESS WAY STE A3, FINDLAY, OH 45840-9547
(419) 420-7304
(419) 420-7317
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50002084
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00639340
RAILROAD MEDICARE
OH
01
—
P00863389
RAILROAD MEDICARE
OH
Enumeration date
02/09/2006
Last updated
08/13/2025
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