Family Care of Wauseon LLC

NPI #1164731493 in Wauseon, Ohio

Provider Information

NPI Number: 1164731493
Entity Type: Organization
Organization Name: Family Care of Wauseon LLC
Primary Specialty: Internal Medicine
Enumeration Date: Oct 5, 2010
Last Updated: Mar 4, 2011

Practice Location

Address: 368 W ELM ST
City: Wauseon
State: Ohio
ZIP Code: 43567-1164
Phone: (419) 335-4600

Authorized Official

Name: DR. NIZAR DABOUL, MD
Title: PARTNER
Phone: (419) 866-7166

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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