Organization
PHYSICIAN'S CHOICE HOSPITAL - FREMONT PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME ANTHONY MCTAGUE MD, JD (MANAGING MEMBER)
(419) 461-1057
Entity
Organization
Contact information
Practice address
2390 ENTERPRISE DR., FREMONT, OH 43420
(419) 461-1057
Mailing address
11537 W BLOOM RD, OAK HARBOR, OH 43449-9671
(419) 461-1057
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35-063632
OH
Other
Enumeration date
02/02/2009
Last updated
02/02/2009
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