| |
270 Portland Way South Galion OH 44833-2381 | |
(419) 468-0505 | |
(419) 468-2381 |
Full Name | |
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Speciality | Internal Medicine |
Location | 270 Portland Way South, Galion, Ohio |
Authorized Official Name and Position | Donald Eric Draime (CFO) |
Authorized Official Contact | 4194680501 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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269 Portland Way South Galion OH 44833-2312 Ph: (419) 468-4841 | 270 Portland Way South Galion OH 44833-2381 Ph: (419) 468-0505 |
NPI Number | 1306007497 |
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Provider Enumeration Date | 06/20/2008 |
Last Update Date | 04/24/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306007497 | NPI | - | NPPES |
2570712 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 35057542G (Ohio) | Primary |
Crawford Eye Clinic Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 218 Portland Way N, Galion, OH 44833 Phone: 419-468-3545 Fax: 419-468-3545 |