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Individual

MR. SEMA JUSTUS FOFUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
735 SOUTH SHOOP AVENUE, SUITE 3, WAUSEON, OH 43567
(419) 335-6377
(419) 335-6807
Mailing address
735 SOUTH SHOOP AVENUE, SUITE 3, WAUSEON, OH 43567
(419) 335-6377
(419) 335-6807

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
34-007671
OH
174400000X
Specialist
34007671
OH
207V00000X
Obstetrics & Gynecology Physician
34.007671
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2317479
OH
Enumeration date
01/05/2007
Last updated
02/09/2023
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