| Midtowne Family Practice Centre, Llc | |
|
421 Georgesville Rd Columbus OH 43228 | |
| (614) 272-7700 | |
| (614) 272-2728 |
| Full Name | Midtowne Family Practice Centre, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 421 Georgesville Rd, Columbus, Ohio |
| Authorized Official Name and Position | Charles James Kistler (DOCTOR) |
| Authorized Official Contact | 6142727700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midtowne Family Practice Centre, Llc 421 Georgesville Rd Columbus OH 43228 Ph: (614) 272-7700 | Midtowne Family Practice Centre, Llc 421 Georgesville Rd Columbus OH 43228 Ph: (614) 272-7700 |
| NPI Number | 1932273273 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 04/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932273273 | NPI | - | NPPES |
| 0411067 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2242 (Ohio) | Primary |
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