Healthcare Provider Details

I. General information

NPI: 1285632869
Provider Name (Legal Business Name): CHERYL HUFFMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2005
Last Update Date: 12/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 N BLANCHARD ST SUITE 121
FINDLAY OH
45840-4503
US

IV. Provider business mailing address

1800 N BLANCHARD ST SUITE 121
FINDLAY OH
45840-4503
US

V. Phone/Fax

Practice location:
  • Phone: 419-427-0809
  • Fax: 419-427-2840
Mailing address:
  • Phone: 419-427-0809
  • Fax: 419-427-2840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35078542
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: