| Name | DANIEL WAKEMAN |
|---|---|
| Street | 5901 MONCLOVA ROAD |
| City | MAUMEE |
| Zip | OH 43537 |
| Status | Active |
| Effective date | 2008-07-22T00:00:00+02:00 |
| Company | ST. LUKE'S PHYSICIAN HOSPITAL ORGANIZATION, INC. |
|---|---|
| Entity Number | 874972 |
| Company | WELLCARE PHYSICIANS GROUP, LLC |
|---|---|
| Entity Number | 1696718 |