Provider First Line Business Practice Location Address:
18761 FLEDDERJOHN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW KNOXVILLE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45871-9516
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-953-4891
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/01/2026