| Mitchell E Nutt, MD | |
|
1067 Hager St, Grand Lake Ob/gyn, Saint Marys, OH 45885-2422 | |
| (419) 394-3387 | |
| (419) 394-7313 |
| Full Name | Mitchell E Nutt |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 1067 Hager St, Saint Marys, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568461051 | NPI | - | NPPES |
| 0204997 | Medicaid | OH | |
| 9934724 | Other | OH | MEDICARE GROUP PTAN LOCATION |
| 1447288717 | Other | OH | GROUP NPI |
| NU4097102 | Other | OH | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 35.092080 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell E Nutt, MD 200 Saint Clair Street, Grand Lake Physician Practices, Saint Marys, OH 45885-2400 Ph: (419) 394-3387 | Mitchell E Nutt, MD 1067 Hager St, Grand Lake Ob/gyn, Saint Marys, OH 45885-2422 Ph: (419) 394-3387 |
Polly Fleet Train, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1140 S Knoxville Ave Ste B, Saint Marys, OH 45885 Phone: 419-394-7314 Fax: 419-394-7313 | |
Eyra Adjoa Agudu, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1067 Hager St, Saint Marys, OH 45885 Phone: 419-394-7311 Fax: 419-394-7313 |