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Individual

MS. SANDRA M. NUZUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
2751 BAY PARK DR., SUITE #300, OREGON, OH 43616
(419) 690-7596
(419) 697-6707
Mailing address
4235 SECOR RD, TOLEDO, OH 43623-4231
(419) 872-3201
(419) 872-3208

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
APRNCNM07498
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000320549
ANTHEM
OH
01
05225
PARAMOUNT
OH
05
2454044
OH
01
344428256
FRONTPATH
OH
01
344428256088
CARESOURCE
OH
05
4584759
MI
05
4584768
MI
Enumeration date
07/13/2005
Last updated
08/02/2017
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