| Brementown Physicians Llc | |
|
200 Saint Clair Ave Saint Marys OH 45885-2400 | |
| (419) 629-2662 | |
| Not Available |
| Full Name | Brementown Physicians Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 200 Saint Clair Ave, Saint Marys, Ohio |
| Authorized Official Name and Position | James D Luedeke (PHYSICIAN) |
| Authorized Official Contact | 4196292662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brementown Physicians Llc 71 Rummel Creek Dr New Bremen OH 45869-9666 Ph: (419) 629-2662 | Brementown Physicians Llc 200 Saint Clair Ave Saint Marys OH 45885-2400 Ph: (419) 629-2662 |
| NPI Number | 1730418344 |
|---|---|
| Provider Enumeration Date | 12/09/2009 |
| Last Update Date | 03/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730418344 | NPI | - | NPPES |
| 3012064 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35048500L (Ohio) | Primary |
Angela Rogers Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1134 Hager St, Saint Marys, OH 45885 Phone: 937-538-1884 | |
St Marys Medical Group Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1132 Hager St, Saint Marys, OH 45885 Phone: 419-394-5851 Fax: 419-394-0702 |