Individual
MR. CLAUDE THEODORE BEITLER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
885 N SANDUSKY AVE, UPPER SANDUSKY, OH 43351-1031
(419) 294-4991
(419) 294-2233
Mailing address
885 N SANDUSKY AVE, UPPER SANDUSKY, OH 43351-1031
(419) 294-4991
(419) 294-2233
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50004227
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
OH
Enumeration date
12/30/2014
Last updated
12/15/2020
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