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20 Center St Berlin Heights OH 44814-9603 | |
(419) 502-2800 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 20 Center St, Berlin Heights, Ohio |
Authorized Official Name and Position | David Tatro (CEO) |
Authorized Official Contact | 4195022822 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1912 Hayes Ave Ste D Sandusky OH 44870-4736 Ph: (419) 502-2800 | 20 Center St Berlin Heights OH 44814-9603 Ph: (419) 502-2800 |
NPI Number | 1235898321 |
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Provider Enumeration Date | 12/15/2021 |
Last Update Date | 04/30/2024 |
Medicare PECOS PAC ID | 0749345296 |
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Medicare Enrollment ID | O20220714003747 |
Identifier | Type | State | Issuer |
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1235898321 | NPI | - | NPPES |