| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 2625 Parade St, Erie, Pennsylvania |
| Authorized Official Name and Position | Dennis Styn (PRESIDENT) |
| Authorized Official Contact | 8148668468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2625 Parade St Erie PA 16504-2809 Ph: (814) 452-6382 | 2625 Parade St Erie PA 16504-2809 Ph: (814) 452-6382 |
| NPI Number | 1992926786 |
|---|---|
| Provider Enumeration Date | 05/01/2007 |
| Last Update Date | 11/07/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992926786 | NPI | - | NPPES |
| 0007045720001 | Medicaid | PA |
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