| Wakeman Area Family Care Center | |
|
24 Hyde St Wakeman OH 44889-9301 | |
| (440) 839-2226 | |
| (440) 839-1339 |
| Full Name | Wakeman Area Family Care Center |
|---|---|
| Speciality | Family Medicine |
| Location | 24 Hyde St, Wakeman, Ohio |
| Authorized Official Name and Position | Laura Tanigawa (OFFICE MANAGER) |
| Authorized Official Contact | 4408392226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wakeman Area Family Care Center 24 Hyde St Wakeman OH 44889-9301 Ph: (440) 839-2226 | Wakeman Area Family Care Center 24 Hyde St Wakeman OH 44889-9301 Ph: (440) 839-2226 |
| NPI Number | 1447201470 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 12/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447201470 | NPI | - | NPPES |
| 2158481 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35062083 (Ohio) | Primary |
| 363A00000X | Physician Assistant | 50000956 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | NP08465 (Ohio) | Secondary |
Premier Health Chiropractic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6297 State Route 303, Wakeman, OH 44889 Phone: 440-839-1055 |