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1510 Columbus Ave Ste 230 Washington Court House OH 43160-1899 | |
(740) 636-1650 | |
(740) 636-2772 |
Full Name | |
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Speciality | Family Medicine |
Location | 1510 Columbus Ave, Washington Court House, Ohio |
Authorized Official Name and Position | Dennis A Mesker (ADMINISTRATOR) |
Authorized Official Contact | 7406361650 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1510 Columbus Ave Ste 230 Po Box 548 Washington Court House OH 43160-0548 Ph: (740) 636-1650 | 1510 Columbus Ave Ste 230 Washington Court House OH 43160-1899 Ph: (740) 636-1650 |
NPI Number | 1699763169 |
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Provider Enumeration Date | 10/10/2005 |
Last Update Date | 08/28/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699763169 | NPI | - | NPPES |
0897258 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35061859M (Ohio) | Primary |
City Of Washington Internal Medicine, L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1450 Columbus Ave, Suite 201, Washington Court House, OH 43160 Phone: 740-333-6463 | |