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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