| Lima-umadaop LLC | |
|
3491 State Route 108 Wauseon OH 43567-9410 | |
| (419) 720-9255 | |
| Not Available |
| Full Name | Lima-umadaop LLC |
|---|---|
| Speciality | General Practice |
| Location | 3491 State Route 108, Wauseon, Ohio |
| Authorized Official Name and Position | Michelle Walsh (MANAGER) |
| Authorized Official Contact | 2192132380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lima-umadaop LLC 3491 State Route 108 Wauseon OH 43567-9410 | Lima-umadaop LLC 3491 State Route 108 Wauseon OH 43567-9410 Ph: (419) 720-9255 |
| NPI Number | 1518445915 |
|---|---|
| Provider Enumeration Date | 07/30/2018 |
| Last Update Date | 07/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518445915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
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