| Brunswick Internal Medicine Inc. | |
|
3724 Center Rd Suite 102 Brunswick OH 44212-4439 | |
| (330) 225-7733 | |
| (330) 220-0902 |
| Full Name | Brunswick Internal Medicine Inc. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 3724 Center Rd, Brunswick, Ohio |
| Authorized Official Name and Position | Marie Joan Modie (MEDICAL BILLER) |
| Authorized Official Contact | 3302257733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brunswick Internal Medicine Inc. 3724 Center Rd Suite 102 Brunswick OH 44212-4439 Ph: (330) 225-7733 | Brunswick Internal Medicine Inc. 3724 Center Rd Suite 102 Brunswick OH 44212-4439 Ph: (330) 225-7733 |
| NPI Number | 1376713925 |
|---|---|
| Provider Enumeration Date | 03/10/2008 |
| Last Update Date | 11/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376713925 | NPI | - | NPPES |
| 0956292 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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