Organization
FAUSTER CAMERON INC., DBA DEFIANCE CLINIC
Active
Other names
Napoleon Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAD L. PETER (CEO)
(419) 784-1414
Entity
Organization
Contact information
Practice address
1426 N. SCOTT ST, NAPOLEON, OH 43545-1026
(419) 599-5500
Mailing address
1426 N. SCOTT ST, NAPOLEON, OH 43545-1026
(419) 599-5500
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0121746
—
OH
Enumeration date
06/05/2007
Last updated
08/22/2020
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