Organization
THE PEDIATRIC HEALTHCARE CENTER LLC
Active
Organization
THE PEDIATRIC HEALTHCARE CENTER LLC
Active
Other names
The Pediatric Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL KUCK MD (PHYSICIAN/OWNER)
(419) 394-2610
Entity
Organization
Contact information
Practice address
1010 HAGER ST, ST MARYS, OH 45885
(419) 394-2610
(419) 394-6605
Mailing address
1010 HAGER ST, SAINT MARYS, OH 45885-2421
(419) 394-2610
(419) 394-6605
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35068454
OH
Other
Enumeration date
03/28/2006
Last updated
03/28/2012
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