Organization
LIMA-UMADAOP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE WALSH (MANAGER)
(219) 213-2380
Entity
Organization
Contact information
Practice address
3491 STATE ROUTE 108, WAUSEON, OH 43567-9410
(419) 720-9255
Mailing address
3491 STATE ROUTE 108, WAUSEON, OH 43567-9410
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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