| Maple City Family Practice, LLC | |
|
1 E Willard Ave Norwalk OH 44857-1155 | |
| (419) 660-1717 | |
| (419) 660-1718 |
| Full Name | Maple City Family Practice, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 1 E Willard Ave, Norwalk, Ohio |
| Authorized Official Name and Position | Stephanie F Gibson (PRESIDENT) |
| Authorized Official Contact | 4196601717 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maple City Family Practice, LLC 1 E Willard Ave Norwalk OH 44857-1155 Ph: (419) 660-1717 | Maple City Family Practice, LLC 1 E Willard Ave Norwalk OH 44857-1155 Ph: (419) 660-1717 |
| NPI Number | 1972959534 |
|---|---|
| Provider Enumeration Date | 05/12/2016 |
| Last Update Date | 05/12/2016 |
| Medicare PECOS PAC ID | 1658659412 |
|---|---|
| Medicare Enrollment ID | O20161028001459 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972959534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OH35079818 (Ohio) | Primary |
| Provider Name | Stephanie F Gibson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619065141 PECOS PAC ID: 4587796438 Enrollment ID: I20100713000457 |
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Norwalk Family Practice, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 44 Executive Dr, Norwalk, OH 44857 Phone: 419-668-4851 Fax: 419-663-5146 |
Mark Bigler, MD Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 Benedict Ave, Suite 101, Norwalk, OH 44857 Phone: 419-660-1717 Fax: 419-660-1718 |
Fisher-titus Medical Care LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 272 Benedict Avenue, Norwalk, OH 44857 Phone: 419-668-8101 Fax: 419-660-2686 |