Individual
MR. ROBERT L NEIDICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2793 SHAWNEE RD, LIMA, OH 45806-1444
(419) 227-8209
(419) 222-6007
Mailing address
10 RAVINE CT, LIMA, OH 45805-4000
(419) 999-1088
(419) 222-6007
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35068286
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0165306
—
OH
Enumeration date
02/01/2006
Last updated
10/09/2008
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