Organization
VAN WERT MEDICAL SERVICES, LTD.
Active
Parent organization
VAN WERT MEDICAL SERVICES, LTD.
Other names
Van Wert Medical Services, Ltd. Specialty
Organization subpart
Yes
Provider details
NPI number
Legal business name
VAN WERT MEDICAL SERVICES, LTD.
Authorized official
MICHAEL HOLLIDAY (FISCAL & ADMINISTRATIVE SERVICES)
(419) 238-2390
Entity
Organization
Contact information
Practice address
140 FOX RD, STE 209, VAN WERT, OH 45891-2475
(419) 238-8621
(419) 238-0424
Mailing address
140 FOX RD, STE 202, VAN WERT, OH 45891-2475
(419) 238-6735
(419) 232-5271
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
36002056
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36002056
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2641903
—
OH
Enumeration date
11/07/2016
Last updated
11/07/2016
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