Woodside Medical Group, Inc.

NPI #1821148404 in Mansfield, Ohio

Provider Information

NPI Number
1821148404
Entity Type
Organization
Organization Name
Woodside Medical Group, Inc.
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Jan 12, 2007
Last Updated
Oct 4, 2011

Practice Location

Address
475 LEXINGTON AVE
State
Ohio
ZIP Code
44907-1501
Phone
(419) 756-2003

Authorized Official

Name
DR. ROBERT EDWIN EXTEN JR., MD
Title
PRES
Phone
(419) 756-2003

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Infusion TherapyInfusion Therapy
Clinic/Center - Medical SpecialtyMedical Specialty

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