| Tri State Medical Llc | |
|
5633 Tylersville Rd Ste B Mason OH 45040-2533 | |
| (937) 681-9258 | |
| Not Available |
| Full Name | Tri State Medical Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5633 Tylersville Rd Ste B, Mason, Ohio |
| Authorized Official Name and Position | Stephen Ericson (MEMBER) |
| Authorized Official Contact | 9376819258 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri State Medical Llc 5633 Tylersville Rd Ste B Mason OH 45040-2533 Ph: () - | Tri State Medical Llc 5633 Tylersville Rd Ste B Mason OH 45040-2533 Ph: (937) 681-9258 |
| NPI Number | 1417650847 |
|---|---|
| Provider Enumeration Date | 03/24/2023 |
| Last Update Date | 03/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417650847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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