Basic Information
Provider Information
NPI: 1235165887
EntityType: 2
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OrganizationName: NORTHWEST OHIO OBGYN ASSOCIATES
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Mailing Information
Address1: 2200 JEFFERSON AVE
Address2: 4TH FLOOR
City: TOLEDO
State: OH
PostalCode: 436241120
CountryCode: US
TelephoneNumber: 4192518997
FaxNumber: 4192513553
Practice Location
Address1: 3840 WOODLEY RD
Address2: SUITE B
City: TOLEDO
State: OH
PostalCode: 436061175
CountryCode: US
TelephoneNumber: 4194750001
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Other Information
ProviderEnumerationDate: 06/24/2006
LastUpdateDate: 12/06/2007
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AuthorizedOfficialLastName: PLATZKE
AuthorizedOfficialFirstName: SAMANTHA
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AuthorizedOfficialTitleorPosition: CFO
AuthorizedOfficialTelephone: 4192512046
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IsOrganizationSubpart: N
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Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207VG0400X  N193400000X MULTIPLE SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
363LX0001X  N193400000X MULTIPLE SINGLE SPECIALTY GROUPPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
176B00000X  Y193400000X MULTIPLE SINGLE SPECIALTY GROUPOther Service ProvidersMidwife 

No ID Information.


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