| Sandusky Medical & Pain Clinic | |
|
208 E Perkins Ave Sandusky OH 44870-4905 | |
| (419) 621-1555 | |
| (419) 621-1405 |
| Full Name | Sandusky Medical & Pain Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 208 E Perkins Ave, Sandusky, Ohio |
| Authorized Official Name and Position | Issam Ahmad Al-turk (OWNER) |
| Authorized Official Contact | 4196211555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandusky Medical & Pain Clinic 208 E Perkins Ave Sandusky OH 44870-4905 Ph: (419) 621-1555 | Sandusky Medical & Pain Clinic 208 E Perkins Ave Sandusky OH 44870-4905 Ph: (419) 621-1555 |
| NPI Number | 1902080310 |
|---|---|
| Provider Enumeration Date | 12/20/2007 |
| Last Update Date | 05/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902080310 | NPI | - | NPPES |
| 2053334 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35074103 (Ohio) | Primary |
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