Doctor Name: | MARY LOUISE NAUMAN |
NPI Number: | 1548358922 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 43568 |
Business Practice Address: | 19900 State Route 739 Marysville, OH - 430409256 |
Business Phone Number: | 9376420298 |
Business Fax Number: | 9376458329 |
Mailing Address: | 1231 Leicester Pl, COLUMBUS |
State: | OH |
Postal Code: | 432352181 |
Phone Number: | 6148469926 |
Fax Number: | 6148486736 |
NPI Enumeration Date: | 10/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204C00000X |
License Number: | 43568 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
Taxonomy Specialization: | |
Taxonomy Definition: |