| Medetc Llc | |
|
2718 Carolyn Dr Lima OH 45807-2310 | |
| (419) 302-3337 | |
| Not Available |
| Full Name | Medetc Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2718 Carolyn Dr, Lima, Ohio |
| Authorized Official Name and Position | Laura Jean Waldron (PRESIDENT) |
| Authorized Official Contact | 4193033466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medetc Llc 2718 Carolyn Dr Lima OH 45807-2310 Ph: (419) 302-3337 | Medetc Llc 2718 Carolyn Dr Lima OH 45807-2310 Ph: (419) 302-3337 |
| NPI Number | 1487953634 |
|---|---|
| Provider Enumeration Date | 03/26/2011 |
| Last Update Date | 03/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487953634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35052128 (Ohio) | Primary |
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