Individual
JEMMA SUZANNE ABOWD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
580 CRAIG DR STE 8, PERRYSBURG, OH 43551-1776
(419) 861-5430
Mailing address
580 CRAIG DR STE 8, PERRYSBURG, OH 43551-1776
(419) 861-5430
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.089619
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000523100
ANTHEM
OH
01
—
000000699384
ANTHEM
OH
05
—
2780914
—
OH
05
—
5189373
—
MI
01
—
7931579
AETNA
OH
01
—
P00418382
RAILROAD MEDICARE
OH
01
—
P00912444
RRMC
OH
Enumeration date
05/01/2007
Last updated
04/25/2012
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