S.m.leu Md Inc | |
8307 Windham St Garrettsville OH 44231-9406 | |
(330) 527-2617 | |
(330) 527-5099 |
Full Name | S.m.leu Md Inc |
---|---|
Speciality | Family Medicine |
Location | 8307 Windham St, Garrettsville, Ohio |
Authorized Official Name and Position | Sang M Leu (PRESIDENT) |
Authorized Official Contact | 3305272617 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
S.m.leu Md Inc Po Box 294 Garrettsville OH 44231-0294 Ph: (330) 527-2617 | S.m.leu Md Inc 8307 Windham St Garrettsville OH 44231-9406 Ph: (330) 527-2617 |
NPI Number | 1700858628 |
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Provider Enumeration Date | 02/03/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700858628 | NPI | - | NPPES |
0266706 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35100013 (Ohio) | Primary |
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