MEDICARE: ELIZABETH READ RUMSCHLAG 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
1	207V00000X	Obstetrics & Gynecology Physician	4301095045	MI

General Provider Information

NPI Number	:	1356571871
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH READ RUMSCHLAG M.D.

Provider Business Mailing Address
First Line	:	4028 CYPRUS AVE
Second Line	:
City	:	LIMA
State	:	OH
Zip	:	45806
Country	:	US
Telephone Number	:	419-227-9354
Fax Number	:	419-228-3273

Provider Business Practice Location Address
First Line	:	830 W HIGH ST STE 101
Second Line	:
City	:	LIMA
State	:	OH
Zip	:	45801-3968
Country	:	US
Telephone Number	:	419-227-9354
Fax Number	:	419-227-9354

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2009
Last Update Date	:	07/23/2013

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