Basic Information
Provider Information
NPI: 1154696334
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RIMMER
FirstName: CLARA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 24 RUGBY AVE
Address2:  
City: ROCHESTER
State: NY
PostalCode: 146191136
CountryCode: US
TelephoneNumber: 6102130660
FaxNumber:  
Practice Location
Address1: 1900 SOUTH MAIN STREET
Address2: RUSE BUILDING, SUITE R3300
City: FINDLAY
State: OH
PostalCode: 458404584
CountryCode: US
TelephoneNumber: 4194235262
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/20/2012
LastUpdateDate: 07/23/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RP1001X35.136820OHN Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
207RC0200X35.136820OHY Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine

No ID Information.


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