Organization
ADULT GERIATRICS OF WOOSTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY I WILLIAMS (OFFICE MANAGER)
(330) 345-5374
Entity
Organization
Contact information
Practice address
1761 BEALL AVE, SUITE 3C, WOOSTER, OH 44691-2342
(330) 345-5374
(330) 345-5814
Mailing address
1761 BEALL AVE, SUITE 3C, WOOSTER, OH 44691-2342
(330) 345-5374
(330) 345-5814
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
34074032K
OH
Other
Enumeration date
03/01/2007
Last updated
01/21/2015
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