Ohio
Board of Licensing
Crouse, Micah-Mid Ohio Emergency Physicians
Medical Board - 41.Pa Supervision Agreement
License number
41.11170-SA
Date granted
01/13/2010
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
Med Central Health System, 335 Glessner Ave, Mansfield, OH 44903
ohiolicensing.org
ID 29373923
LAST UPDATED 2026-06-19 19:38:43 UTC
LAST UPDATED 2026-06-19 19:38:43 UTC