Healthcare Provider Details

I. General information

NPI: 1447249883
Provider Name (Legal Business Name): OBSTETRICS AND GYNECOLOGY OF GALION, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 STATE ROUTE 598
GALION OH
44833-9367
US

IV. Provider business mailing address

1200 STATE ROUTE 598
GALION OH
44833-9367
US

V. Phone/Fax

Practice location:
  • Phone: 419-468-0111
  • Fax: 419-468-0113
Mailing address:
  • Phone: 419-468-0111
  • Fax: 419-468-0113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number StateOH

VIII. Authorized Official

Name: DR. TYLER K HUGGINS
Title or Position: PRESIDENT
Credential: MD
Phone: 419-468-0111