Organization
MAUMEE BAY FAMILY PRACTICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARA S ROBINSON M.D. (PRESIDENT OWNER)
(419) 691-7820
Entity
Organization
Contact information
Practice address
4330 NAVARRE AVE, SUITE 103, OREGON, OH 43616-3578
(419) 691-7820
(419) 691-7593
Mailing address
4330 NAVARRE AVE, SUITE 103, OREGON, OH 43616-3578
(419) 691-7820
(419) 691-7593
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
35078608R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2343128
—
OH
05
—
724392
—
OH
Enumeration date
09/02/2006
Last updated
04/01/2011
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