Organization
MAPLE CITY FAMILY PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE F GIBSON MD (PRESIDENT)
(419) 660-1717
Entity
Organization
Contact information
Practice address
1 E WILLARD AVE, NORWALK, OH 44857-1155
(419) 660-1717
(419) 660-1718
Mailing address
1 E WILLARD AVE, NORWALK, OH 44857-1155
(419) 660-1717
(419) 660-1718
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OH35079818
OH
Other
Enumeration date
05/12/2016
Last updated
05/12/2016
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