Organization
FAMILY MEDICINE ASSOCIATES OF SANDUSKY CO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER GREENSLADE HOHMAN MD (OWNER)
(419) 355-9440
Entity
Organization
Contact information
Practice address
1479 N RIVER RD, FREMONT, OH 43420-9760
(419) 355-9440
(419) 355-9443
Mailing address
1479 N RIVER RD, FREMONT, OH 43420-9760
(419) 355-9440
(419) 355-9443
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35077157
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2421016
—
OH
01
—
DA5652
MEDICARE RAILROAD
OH
Enumeration date
09/04/2007
Last updated
05/07/2008
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