Individual
TRISHA LYNN CLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
140 FOX RD STE 201, VAN WERT, OH 45891-2492
(419) 232-2323
(419) 238-2322
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.135391
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0335421
—
OH
Enumeration date
04/11/2016
Last updated
03/22/2024
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