Organization
GBNP, LLC
Active
Other names
Viacare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE B STANLEY III (OWNER)
(419) 868-1258
Entity
Organization
Contact information
Practice address
3521 BRIARFIELD BLVD, SUITE C, MAUMEE, OH 43537-9387
(419) 868-1258
(419) 868-9293
Mailing address
3521 BRIARFIELD BLVD, SUITE C, MAUMEE, OH 43537-9387
(419) 868-1258
(419) 868-9293
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/03/2008
Last updated
07/22/2008
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