Melchor L. Mercado M.d. A Professional Corporation | |
1250 Ralston Ave Defiance OH 43512-5311 | |
(419) 783-7880 | |
(419) 783-6804 |
Full Name | Melchor L. Mercado M.d. A Professional Corporation |
---|---|
Speciality | Psychologist - Prescribing (medical) |
Location | 1250 Ralston Ave, Defiance, Ohio |
Authorized Official Name and Position | Melchor L. Mercado (OWNER) |
Authorized Official Contact | 4197837880 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Melchor L. Mercado M.d. A Professional Corporation 1250 Ralston Ave Defiance OH 43512-5311 Ph: (419) 783-7880 | Melchor L. Mercado M.d. A Professional Corporation 1250 Ralston Ave Defiance OH 43512-5311 Ph: (419) 783-7880 |
NPI Number | 1851842363 |
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Provider Enumeration Date | 10/19/2016 |
Last Update Date | 10/19/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851842363 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TP0016X | Psychologist - Prescribing (medical) | 35.071066 (Ohio) | Primary |
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