| Meridia Medical Group Llc | |
|
2999 Mcmackin Rd Madison OH 44057-2330 | |
| (440) 428-1111 | |
| (440) 428-0709 |
| Full Name | Meridia Medical Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2999 Mcmackin Rd, Madison, Ohio |
| Authorized Official Name and Position | Michael O'connell (V.P OF OPERATIONS) |
| Authorized Official Contact | 2167613300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meridia Medical Group Llc 275 Springside Dr Suite 100 Akron OH 44333-4548 Ph: (234) 466-4083 | Meridia Medical Group Llc 2999 Mcmackin Rd Madison OH 44057-2330 Ph: (440) 428-1111 |
| NPI Number | 1255523056 |
|---|---|
| Provider Enumeration Date | 08/15/2007 |
| Last Update Date | 11/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255523056 | NPI | - | NPPES |
| 2746461 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34002884 (Ohio) | Primary |
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