| Mco Family Practice Center | |
|
1015 Garden Lake Pkwy Toledo OH 43614-2779 | |
| (419) 383-5500 | |
| (419) 383-5575 |
| Full Name | Mco Family Practice Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1015 Garden Lake Pkwy, Toledo, Ohio |
| Authorized Official Name and Position | Mary Rassel (DATA ENTRY SUPERVISOR) |
| Authorized Official Contact | 4193835504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mco Family Practice Center 1015 Garden Lake Pkwy Toledo OH 43614-2779 Ph: (419) 383-5500 | Mco Family Practice Center 1015 Garden Lake Pkwy Toledo OH 43614-2779 Ph: (419) 383-5500 |
| NPI Number | 1659311405 |
|---|---|
| Provider Enumeration Date | 06/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659311405 | NPI | - | NPPES |
| 2554847 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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