| Organization Name: | OCCUPATIONAL MEDICINE ASSOCIATES OF WAYNE COUNTY, INC |
| NPI Number: | 1003209347 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEFFREY A VANDORSTEN (PRESIDENT) |
| Mailing Address: | 2201 Benden Dr Wooster |
| State: | OH US |
| Postal Code: | 446915355 |
| Phone Number: | 3302637270 |
| Fax Number: | 3302637283 |
| NPI Enumeration Date: | 03/11/2015 |
| NPI Last Update Date: | 03/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QX0100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Occupational Medicine |
| Taxonomy Definition: | |