Fremont Family Medicine, Inc. | |
1916 Glen Springs Dr Fremont OH 43420-3293 | |
(419) 332-4223 | |
(419) 332-9099 |
Full Name | Fremont Family Medicine, Inc. |
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Speciality | Family Medicine |
Location | 1916 Glen Springs Dr, Fremont, Ohio |
Authorized Official Name and Position | Denise K Woolley (DIRECTOR, MEDICAL STAFF SERVICES) |
Authorized Official Contact | 4193346624 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Fremont Family Medicine, Inc. 1916 Glen Springs Dr Fremont OH 43420-3293 Ph: (419) 332-4223 | Fremont Family Medicine, Inc. 1916 Glen Springs Dr Fremont OH 43420-3293 Ph: (419) 332-4223 |
NPI Number | 1124211172 |
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Provider Enumeration Date | 08/23/2007 |
Last Update Date | 10/21/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124211172 | NPI | - | NPPES |
1715142 | Other | OH | CORPORATION CERTIFICATE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35-084980 (Ohio) | Primary |
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