| Organization Name: | WHOLE HEALTH MEDICAL GROUP OHIO PROFESSIONAL CORPORATION |
| NPI Number: | 1396176038 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES M THIEL (REGIONAL MEDICAL DIRECTOR) |
| Mailing Address: | 12-773 State Rout 110 Napoleon |
| State: | OH US |
| Postal Code: | 435455898 |
| Phone Number: | 4195996787 |
| Fax Number: | 4195996822 |
| NPI Enumeration Date: | 12/05/2013 |
| NPI Last Update Date: | 05/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |