| Diabetes And Metabolism Special1st Care | |
|
715 W North St Lima OH 45801-3922 | |
| (419) 227-1570 | |
| (419) 227-5005 |
| Full Name | Diabetes And Metabolism Special1st Care |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 715 W North St, Lima, Ohio |
| Authorized Official Name and Position | M. Shank (PRESIDENT) |
| Authorized Official Contact | 4192271570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diabetes And Metabolism Special1st Care 715 W North St Lima OH 45801-3922 Ph: (419) 227-1570 | Diabetes And Metabolism Special1st Care 715 W North St Lima OH 45801-3922 Ph: (419) 227-1570 |
| NPI Number | 1558489062 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558489062 | NPI | - | NPPES |
| 2058053 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 35057234 (Ohio) | Primary |
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