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Individual

MRS. JEAN T.S. FEICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP, CDE

Contact information

Practice address
1111 HAYES AVE, DIABETES CLINIC, SANDUSKY, OH 44870-3323
(419) 557-6990
(419) 621-2202
Mailing address
1031 PIERCE STREET, SUITE D, SANDUSKY, OH 44870
(419) 557-5541
(419) 557-5542

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
RN127264
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
NP10121
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2953031
OH
01
P00752833
MEDICARE RR
OH
Enumeration date
10/06/2008
Last updated
04/23/2014
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