Wauseon Family Practice

NPI #1285815076 in Wauseon, Ohio

Provider Information

NPI Number: 1285815076
Entity Type: Organization
Organization Name: Wauseon Family Practice
Primary Specialty: Family Medicine
Enumeration Date: Nov 20, 2007
Last Updated: Apr 20, 2008

Practice Location

Address: 725 S SHOOP AVE
City: Wauseon
State: Ohio
ZIP Code: 43567-1702
Phone: (419) 337-9990

Authorized Official

Name: DR. RAMON ANTHONY ISSA, M.D.
Title: OWNER
Phone: (419) 337-9990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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