Individual
MS. AMY MICHELLE BISCHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3072 WEXFORD BLVD, STOW, OH 44224-2850
(330) 221-5490
(330) 678-4557
Mailing address
3072 WEXFORD BLVD, STOW, OH 44224-2850
(330) 221-5490
(330) 678-4557
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2456211
—
OH
05
—
7704256
—
OH
Enumeration date
03/21/2007
Last updated
07/09/2007
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