| West Avenue Family Practice, Inc. | |
|
224 West Ave Tallmadge OH 44278-2110 | |
| (330) 633-8341 | |
| (330) 633-8462 |
| Full Name | West Avenue Family Practice, Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 224 West Ave, Tallmadge, Ohio |
| Authorized Official Name and Position | Thomas J Schmeiser (PRESIDENT) |
| Authorized Official Contact | 3306338341 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Avenue Family Practice, Inc. 224 West Ave Tallmadge OH 44278-2110 Ph: (330) 633-8341 | West Avenue Family Practice, Inc. 224 West Ave Tallmadge OH 44278-2110 Ph: (330) 633-8341 |
| NPI Number | 1831379643 |
|---|---|
| Provider Enumeration Date | 11/08/2007 |
| Last Update Date | 11/08/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831379643 | NPI | - | NPPES |
| 2289456 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 34006905 (Ohio) | Primary |
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