Organization
GOOD SHEPHERD FAMILY& GERIATRIAC MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAMAL NT YOAKIM MD (FAMILY PHYSICIAN)
(630) 854-2515
Entity
Organization
Contact information
Practice address
1661 HOLLAND RD, MAUMEE, OH 43537-4207
(630) 854-2515
(419) 740-7288
Mailing address
344 EMBER DR, OREGON, OH 43616-1716
(630) 854-2515
(419) 740-7288
Taxonomy
Speciality
Code
Description
License number
State
261QF0050X
Non-Surgical Family Planning Clinic/Center
Primary
35093757
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3043030
—
OH
Enumeration date
05/19/2010
Last updated
06/25/2010
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