Mobile Physicians of Ohio INC

NPI #1013187418 in Sylvania, Ohio

Provider Information

NPI Number: 1013187418
Entity Type: Organization
Organization Name: Mobile Physicians of Ohio INC
Primary Specialty: Nurse Practitioner
Enumeration Date: Mar 3, 2008
Last Updated: Mar 3, 2008

Practice Location

Address: 5151 MAIN ST
City: Sylvania
State: Ohio
ZIP Code: 43560-2184
Phone: (419) 882-5000

Authorized Official

Name: MICHAEL WALLACE, O.D.
Title: PRESIDENT
Phone: (419) 882-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinical Nurse Specialist	364S00000X
Nurse Practitioner	363L00000X	Primary

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