Organization
COMMUNITY HOSPITALS AND WELLNESS CENTERS INTERNAL MEDICINE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP L. ENNEN (PRESIDENT)
(419) 636-1131
Entity
Organization
Contact information
Practice address
447 N SHOOP AVE, WAUSEON, OH 43567-1261
(419) 337-7980
(419) 337-8265
Mailing address
447 N SHOOP AVE, WAUSEON, OH 43567-1261
(419) 337-7980
(419) 337-8265
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/02/2007
Last updated
02/04/2008
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