William Kegerize Od LLC

NPI #1972834307 in Genoa, Ohio

Provider Information

NPI Number
1972834307
Entity Type
Organization
Organization Name
William Kegerize Od LLC
Subpart
Yes (part of a larger organization)
Parent Organization
WILLIAM KEGERIZE OD LLC
Primary Specialty
Exclusive Provider Organization
Enumeration Date
Jan 25, 2010
Last Updated
Sep 27, 2016

Practice Location

Address
603 MAIN ST
City
Genoa
State
Ohio
ZIP Code
43430-1635
Phone
(419) 855-3640

Authorized Official

Name
DR. WILLIAM R KEGERIZE, O.D.
Title
OWNER
Phone
(419) 855-3640

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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