Organization
WELLCARE PHYSICIANS GROUP LLC
Active
Other names
Premier Women's Health
Organization subpart
No
Provider details
NPI number
Authorized official
AMY L BAHNSEN (CREDENTIALING SUPERVISOR)
(419) 824-7334
Entity
Organization
Contact information
Practice address
6135 TRUST DR, SUITE 114, HOLLAND, OH 43528-9358
(419) 491-0041
(419) 491-0042
Mailing address
6135 TRUST DR, SUITE 114, HOLLAND, OH 43528-9358
(419) 491-0041
(419) 491-0042
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
OH
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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