Organization
WOODLAND CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS ERIC HUNT D.O. (PRESIDENT)
44059373690
Entity
Organization
Contact information
Practice address
106 GATEWAY AVE, CONNEAUT, OH 44030-2349
(440) 593-7360
(440) 593-6407
Mailing address
106 GATEWAY AVE, CONNEAUT, OH 44030-2349
(440) 593-7360
(440) 593-6407
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP04998
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2751517
—
OH
Enumeration date
05/29/2007
Last updated
05/05/2010
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