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NPI Code Detail

MEDICARE: CLAIRE ELISE NATSIOS MD

MEDICARE: CLAIRE ELISE NATSIOS MD
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
1208000000XPediatrics Physician35.148425OH

General Provider Information

NPI Number : 1962030536
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAIRE ELISE NATSIOS MD
Provider Business Mailing Address
First Line : 970 W WOOSTER ST RM 130
Second Line :
City : BOWLING GREEN
State : OH
Zip : 43402-2652
Country : US
Telephone Number : 419-352-6890
Fax Number :
Provider Business Practice Location Address
First Line : 970 W WOOSTER ST RM 130
Second Line :
City : BOWLING GREEN
State : OH
Zip : 43402-2652
Country : US
Telephone Number : 419-352-6890
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2020
Last Update Date : 06/30/2023

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Directions to “ CLAIRE ELISE NATSIOS MD” Practice Location

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