Wauseon Clinic Corp

NPI #1992996524 in Wauseon, Ohio

Provider Information

NPI Number: 1992996524
Entity Type: Organization
Organization Name: Wauseon Clinic Corp
Primary Specialty: Family Medicine
Enumeration Date: Aug 8, 2007
Last Updated: Feb 1, 2008

Practice Location

Address: 495 S SHOOP AVE
City: Wauseon
State: Ohio
ZIP Code: 43567-1719
Phone: (419) 335-7921

Authorized Official

Name: DR. RICHARD JOHN GRIESER, MD
Title: PRESIDENT
Phone: (419) 335-7921

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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