Organization
GENOA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIMAN TOUFEK ODEH DO (PRESIDENT OF CORPORATION)
(419) 855-7772
Entity
Organization
Contact information
Practice address
22614 W STATE ROUTE 51, GENOA, OH 43430-1143
(419) 855-7772
(419) 855-4800
Mailing address
22614 W STATE ROUTE 51, GENOA, OH 43430-1143
(419) 855-7772
(419) 855-4800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35075834
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2169059
—
OH
Enumeration date
08/23/2005
Last updated
05/13/2008
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