Organization
NORTHWEST OHIO RHEUMATOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES A GIDEON MD (OWNER)
(419) 369-2190
Entity
Organization
Contact information
Practice address
132 GARAU ST, SUITE A, BLUFFTON, OH 45817-1086
(419) 358-0132
(419) 358-0319
Mailing address
PO BOX 78000, DEPT 78190, DETROIT, MI 48278-1907
(800) 514-4390
(440) 808-3675
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0091899
—
OH
01
—
DU2173
RAILROAD MEDICARE
OH
Enumeration date
09/24/2013
Last updated
10/28/2014
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