Healthcare Provider Details

I. General information

NPI: 1407972797
Provider Name (Legal Business Name): SARAH REDDING MD,MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

741 SCHOLL RD
MANSFIELD OH
44907-1571
US

IV. Provider business mailing address

2429 MANSFIELD LUCAS RD
LUCAS OH
44843-9548
US

V. Phone/Fax

Practice location:
  • Phone: 419-774-6869
  • Fax:
Mailing address:
  • Phone: 419-774-9077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number35072988
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: