Paulding Medical Center, Inc.

NPI #1619298924 in Paulding, Ohio

Provider Information

NPI Number: 1619298924
Entity Type: Organization
Organization Name: Paulding Medical Center, Inc.
Primary Specialty: General Practice
Enumeration Date: Jun 21, 2010
Last Updated: Jun 21, 2010

Practice Location

Address: 11550 STATE ROUTE 500
City: Paulding
State: Ohio
ZIP Code: 45879-9173
Phone: (419) 399-2630

Authorized Official

Name: MR. FREDERIC CHARLES HENDRICKSON, D.O.
Title: OWNER
Phone: (419) 399-2630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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