Organization
INFECTIOUS DISEASES INC
Active
Organization
INFECTIOUS DISEASES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILFRED JG ELLIS MD (CEO)
(419) 229-6007
Entity
Organization
Contact information
Practice address
329 N WEST ST, LIMA, OH 45801-4332
(419) 229-6007
(419) 229-0607
Mailing address
329 N WEST ST, LIMA, OH 45801-4332
(419) 229-6007
(419) 229-0607
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
35060082
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0804535
—
OH
Enumeration date
07/21/2006
Last updated
07/29/2010
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