Individual
DR. CARL DEAN OBENAUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
278 BENEDICT AVE, STE. 300 MEDICAL PARK III, NORWALK, OH 44857-2399
(419) 668-3295
(419) 668-8861
Mailing address
278 BENEDICT AVE, STE. 300 MEDICAL PARK III, NORWALK, OH 44857-2399
(419) 668-3295
(419) 668-8861
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35-04-2379-O
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0384534
—
OH
Enumeration date
11/16/2005
Last updated
01/16/2008
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