| M & K Family And Sports Medicine, Inc. | |
|
601 Us 224 Glandorf OH 45848 | |
| (419) 538-7330 | |
| (419) 538-7331 |
| Full Name | M & K Family And Sports Medicine, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 601 Us 224, Glandorf, Ohio |
| Authorized Official Name and Position | Linda A Mansfield (PRESIDENT) |
| Authorized Official Contact | 4195387330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M & K Family And Sports Medicine, Inc. Po Box 81 Glandorf OH 45848-0081 Ph: (419) 538-7330 | M & K Family And Sports Medicine, Inc. 601 Us 224 Glandorf OH 45848 Ph: (419) 538-7330 |
| NPI Number | 1356432926 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 11/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356432926 | NPI | - | NPPES |
| DF2023 | Other | MEDICARE RAILROAD GROUP | |
| 2986729 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Gastro-intestinal Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 State Route 224, Glandorf, OH 45848 Phone: 419-227-8209 |