Organization
EXIGENCE OF FREMONT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN G HOLTZCLAW MD (OWNER)
(856) 686-4317
Entity
Organization
Contact information
Practice address
715 S TAFT AVE, FREMONT, OH 43420-3200
(419) 332-7321
Mailing address
1 JOHN JAMES AUDUBON PKWY, AMHERST, NY 14228-1143
(716) 204-4500
(716) 204-4501
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
NY
Other
Enumeration date
08/10/2009
Last updated
05/18/2012
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