Individual
BENJAMIN TIMOTHY FORRESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
725 S SHOOP AVE, WAUSEON, OH 43567-1702
(419) 335-2015
Mailing address
725 S SHOOP AVE, WAUSEON, OH 43567-1702
(419) 335-2015
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
34.008787
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2966625
—
OH
Enumeration date
03/30/2007
Last updated
06/15/2022
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