| Mill Pond Family Physicians, Inc. | |
|
265 Portage Trail Ext W Suite 200 Cuyahoga Falls OH 44223-3613 | |
| (330) 928-3111 | |
| (330) 928-2843 |
| Full Name | Mill Pond Family Physicians, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 265 Portage Trail Ext W, Cuyahoga Falls, Ohio |
| Authorized Official Name and Position | Donald A Dahlen (PRESIDENT) |
| Authorized Official Contact | 3309283111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mill Pond Family Physicians, Inc. 265 Portage Trail Ext W Suite 200 Cuyahoga Falls OH 44223-3613 Ph: (330) 928-3111 | Mill Pond Family Physicians, Inc. 265 Portage Trail Ext W Suite 200 Cuyahoga Falls OH 44223-3613 Ph: (330) 928-3111 |
| NPI Number | 1174637540 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174637540 | NPI | - | NPPES |
| W42751 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35044964D (Ohio) | Primary |
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