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525 N Eastown Rd Ste A Lima OH 45807-2268 | |
(419) 224-4646 | |
(419) 224-2410 |
Full Name | |
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Speciality | Surgery |
Location | 525 N Eastown Rd Ste A, Lima, Ohio |
Authorized Official Name and Position | Jeffrey Utz (DIRECTOR OF LMP) |
Authorized Official Contact | 4199984668 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1001 Bellefontaine Ave Lima OH 45804-2800 Ph: (419) 998-4575 | 525 N Eastown Rd Ste A Lima OH 45807-2268 Ph: (419) 224-4646 |
NPI Number | 1013382068 |
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Provider Enumeration Date | 12/02/2015 |
Last Update Date | 10/19/2023 |
Identifier | Type | State | Issuer |
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1013382068 | NPI | - | NPPES |
2223703 | Medicaid | OH | |
1457474900 | Other | OH | GROUP NPI |
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Mercy Health Physicians Lima Specialty Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 770 W High St Ste 450, Lima, OH 45801 Phone: 419-996-5078 | |