Individual
DR. AMELIA SCHRAG PRACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
315 CRESTWOOD DR, WILLARD, OH 44890-1667
(419) 935-0196
(419) 933-7616
Mailing address
315 CRESTWOOD DR, WILLARD, OH 44890-1667
(419) 935-0196
(419) 933-7616
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35048336
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000136992
ANTHEM BC/BS
OH
05
—
0548876
—
OH
Enumeration date
07/27/2006
Last updated
07/08/2007
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