Provider First Line Business Practice Location Address:
1250 S WASHINGTON ST
Provider Second Line Business Practice Location Address:
PHOENIX EMERGENCY PHYSICIANS OF THE MIDWEST
Provider Business Practice Location Address City Name:
VAN WERT
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45891-2551
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-238-8611
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/06/2005