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NPI Code Detail

MEDICARE: DR. NANCY L. CLOAK M.D.

MEDICARE: DR. NANCY L. CLOAK M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QH0002XHospice and Palliative Medicine (Family Medicine) Physician35.133094OH
2207RH0002XHospice and Palliative Medicine (Internal Medicine) Physician35.133094OH

General Provider Information

NPI Number : 1164618021
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NANCY L. CLOAK M.D.
Provider Business Mailing Address
First Line : 1200 SYCAMORE LINE
Second Line :
City : SANDUSKY
State : OH
Zip : 44870-4029
Country : US
Telephone Number : 419-502-2223
Fax Number :
Provider Business Practice Location Address
First Line : 1200 SYCAMORE LINE
Second Line :
City : SANDUSKY
State : OH
Zip : 44870-4029
Country : US
Telephone Number : 419-502-2223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2007
Last Update Date : 01/29/2025

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