Doctor Name: | DR. VIRGIE U QUE |
NPI Number: | 1629253323 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 35053050 |
Business Practice Address: | 1790 N Lakewood Ave Port Clinton, OH - 434522971 |
Business Phone Number: | 4197344539 |
Business Fax Number: | 4197346365 |
Mailing Address: | 1790 N Lakewood Ave, PORT CLINTON |
State: | OH |
Postal Code: | 434522971 |
Phone Number: | 4197344539 |
Fax Number: | 4197346365 |
NPI Enumeration Date: | 01/01/2008 |
NPI Last Update Date: | 01/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RA0000X |
License Number: | 35053050 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |