| Premise Health Of Ohio Medical, P.a | |
|
14210 Scottslawn Rd Marysville OH 43041-0001 | |
| (937) 578-5555 | |
| (937) 578-5870 |
| Full Name | Premise Health Of Ohio Medical, P.a |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 14210 Scottslawn Rd, Marysville, Ohio |
| Authorized Official Name and Position | Jon Leizman (OWNER) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of Ohio Medical, P.a 14210 Scottslawn Rd Marysville OH 43041-0001 Ph: (937) 578-5555 | Premise Health Of Ohio Medical, P.a 14210 Scottslawn Rd Marysville OH 43041-0001 Ph: (937) 578-5555 |
| NPI Number | 1356645014 |
|---|---|
| Provider Enumeration Date | 01/10/2011 |
| Last Update Date | 08/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356645014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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