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Organization

WEE CARE PAIN MANAGEMENT, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SAMUEL N AGUBOSIM M.D., (PRESIDENT)
(419) 794-1170
Entity
Organization

Contact information

Practice address
1574 HENTHORNE DR, SUITE C, MAUMEE, OH 43537-1397
(419) 794-1170
(419) 794-1171
Mailing address
1574 HENTHORNE DR, SUITE C, MAUMEE, OH 43537-1397
(419) 794-1170
(419) 794-1171

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
35074877
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2132187
OH
05
2873887
OH
Enumeration date
09/03/2008
Last updated
01/02/2015
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