| Primary Care Of Northwest Ohio, Inc | |
|
605 3rd Ave Blg B Ste D Fremont OH 43420-3269 | |
| (419) 355-8070 | |
| (419) 355-1109 |
| Full Name | Primary Care Of Northwest Ohio, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 605 3rd Ave, Fremont, Ohio |
| Authorized Official Name and Position | John Michael Mauric (PRESIDENT) |
| Authorized Official Contact | 4193558070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Of Northwest Ohio, Inc 605 3rd Ave Blg B Ste D Fremont OH 43420-3269 Ph: (419) 355-8070 | Primary Care Of Northwest Ohio, Inc 605 3rd Ave Blg B Ste D Fremont OH 43420-3269 Ph: (419) 355-8070 |
| NPI Number | 1427231430 |
|---|---|
| Provider Enumeration Date | 12/12/2007 |
| Last Update Date | 01/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427231430 | NPI | - | NPPES |
| 2256473 | Medicaid | OH | |
| 740142 | Other | OH | BUCKEYE MEDICAID |
| R04778 | Other | OH | SUMMACARE |
| CH7959 | Other | OH | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Ohio) | Primary |
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