| University Family Physicians, Inc. | |
|
825 W Locust St Wilmington OH 45177-2118 | |
| (937) 383-3402 | |
| (937) 383-0610 |
| Full Name | University Family Physicians, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 825 W Locust St, Wilmington, Ohio |
| Authorized Official Name and Position | Jeffrey Louis Susman (PRESIDENT) |
| Authorized Official Contact | 5135584021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Family Physicians, Inc. 141 Health Professions Building Po Box 670582 Cincinnati OH 45267-0582 Ph: (513) 558-4021 | University Family Physicians, Inc. 825 W Locust St Wilmington OH 45177-2118 Ph: (937) 383-3402 |
| NPI Number | 1720054190 |
|---|---|
| Provider Enumeration Date | 02/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720054190 | NPI | - | NPPES |
| 2102923 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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