| Family Medicine Inc | |
|
6525 Market Ave N Suite 101 Canton OH 44721-2430 | |
| (330) 494-9785 | |
| (330) 494-9798 |
| Full Name | Family Medicine Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 6525 Market Ave N, Canton, Ohio |
| Authorized Official Name and Position | Melanie Ethell Mirande (PRESIDENT) |
| Authorized Official Contact | 3304949785 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Inc 6525 Market Ave N Suite 101 Canton OH 44721-2430 Ph: (330) 494-9785 | Family Medicine Inc 6525 Market Ave N Suite 101 Canton OH 44721-2430 Ph: (330) 494-9785 |
| NPI Number | 1841489861 |
|---|---|
| Provider Enumeration Date | 10/16/2007 |
| Last Update Date | 01/18/2011 |
| Medicare PECOS PAC ID | 9335235258 |
|---|---|
| Medicare Enrollment ID | O20071023000409 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841489861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35072373 (Ohio) | Primary |
| Provider Name | Melanie E Mirande |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437123783 PECOS PAC ID: 5890881718 Enrollment ID: I20071023000396 |
| Provider Name | Bethany Joy Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730355009 PECOS PAC ID: 3476684481 Enrollment ID: I20100708000024 |
| Provider Name | Gabrielle Barbara Dickerhoof |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982118758 PECOS PAC ID: 7810255437 Enrollment ID: I20180102002654 |
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