| Spencerville Physicians, Ltd | |
|
107 N Canal St Spencerville OH 45887-1121 | |
| (419) 647-4188 | |
| (419) 647-4421 |
| Full Name | Spencerville Physicians, Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 107 N Canal St, Spencerville, Ohio |
| Authorized Official Name and Position | Donald O Mack (PARTNER) |
| Authorized Official Contact | 4196474188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spencerville Physicians, Ltd 107 N Canal St Spencerville OH 45887-1121 Ph: (419) 647-4188 | Spencerville Physicians, Ltd 107 N Canal St Spencerville OH 45887-1121 Ph: (419) 647-4188 |
| NPI Number | 1982736948 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982736948 | NPI | - | NPPES |
| 2052326 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35067497 (Ohio) | Primary |
Family Physicians Of Lima Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 S Broadway, Spencerville, OH 45887 Phone: 419-647-4165 Fax: 419-647-4183 |