Organization
NORTHWEST OHIO PRIMARY CARE PHYSICIANS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY GLADIEUX M.D. (PHYSICIAN)
(419) 887-0803
Entity
Organization
Contact information
Practice address
5757 MONCLOVA RD, SUITE 10, MAUMEE, OH 43537-1863
(419) 887-0803
(419) 887-0817
Mailing address
5757 MONCLOVA RD, SUITE 10, MAUMEE, OH 43537-1863
(419) 887-0803
(419) 887-0817
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35056893
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0735459
—
OH
01
—
1891790804
NPI
—
Enumeration date
07/04/2006
Last updated
08/22/2020
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