| Mansfield Internal Medicine, Inc | |
|
370 Cline Ave Ste C6 Mansfield OH 44907-1057 | |
| (419) 775-0042 | |
| (419) 775-0043 |
| Full Name | Mansfield Internal Medicine, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 370 Cline Ave Ste C6, Mansfield, Ohio |
| Authorized Official Name and Position | James Edward Richardson (PRESIDENT) |
| Authorized Official Contact | 4197750042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mansfield Internal Medicine, Inc 370 Cline Ave Ste C6 Mansfield OH 44907-1057 Ph: (419) 775-0042 | Mansfield Internal Medicine, Inc 370 Cline Ave Ste C6 Mansfield OH 44907-1057 Ph: (419) 775-0042 |
| NPI Number | 1356487086 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356487086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 047919 (Ohio) | Primary |
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