Sandusky Gastroenterologists, Inc. | |
1410 Milan Rd Sandusky OH 44870-4130 | |
(419) 627-1056 | |
(419) 627-6269 |
Full Name | Sandusky Gastroenterologists, Inc. |
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Speciality | Internal Medicine - Gastroenterology |
Location | 1410 Milan Rd, Sandusky, Ohio |
Authorized Official Name and Position | Lawrence R. Mccormack (PRESIDENT) |
Authorized Official Contact | 4196271056 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sandusky Gastroenterologists, Inc. 1410 Milan Rd Sandusky OH 44870-4130 Ph: (419) 627-1056 | Sandusky Gastroenterologists, Inc. 1410 Milan Rd Sandusky OH 44870-4130 Ph: (419) 627-1056 |
NPI Number | 1003002270 |
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Provider Enumeration Date | 09/20/2007 |
Last Update Date | 10/01/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003002270 | NPI | - | NPPES |
0361791 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 034991 (Ohio) | Primary |
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