Individual
DR. JILL K BADIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
455 W 4TH ST, SUITE 100, FOSTORIA, OH 44830-1849
(419) 436-6680
(419) 436-6681
Mailing address
455 W 4TH ST, SUITE 100, FOSTORIA, OH 44830-1849
(419) 436-6680
(419) 436-6681
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-009905
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3077012
—
OH
01
—
POO912482
RRMC
OH
Enumeration date
01/28/2008
Last updated
05/02/2012
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