Organization
WEST CENTRAL OHIO UROLOGICAL CENTERS OF EXCELLENCE, LLC
Active
Other names
Crossroads Urology
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG ALAN NICHOLSON (OWNER)
(567) 529-9000
Entity
Organization
Contact information
Practice address
2751 FORT AMANDA RD, LIMA, OH 45805-4805
(419) 855-5119
(419) 614-6027
Mailing address
1365 SHOREVIEW DR, LIMA, OH 45805-3684
(419) 855-5119
(419) 614-6027
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
11/28/2022
Last updated
11/12/2024
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