Nathaniel Joseph Puchala, IDHS

NPI #1730775875 in Port Clinton, Ohio

Provider Information

NPI Number: 1730775875
Entity Type: Individual
Name: Nathaniel Joseph Puchala, IDHS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Credential: IDHS
Enumeration Date: Dec 14, 2020
Last Updated: Dec 14, 2020

Practice Location

Address: ERIE INDUSTRIAL PARK BLDG 360
City: Port Clinton
State: Ohio
ZIP Code: 43452-9412
Phone: (419) 635-4462

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medical Technician, Basic	146N00000X
Technician, Other	247200000X	Primary

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