West Avenue Family Practice, Inc. | |
224 West Ave Tallmadge OH 44278-2110 | |
(330) 633-8341 | |
(330) 633-8462 |
Full Name | West Avenue Family Practice, Inc. |
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Speciality | Clinic/center - Primary Care |
Location | 224 West Ave, Tallmadge, Ohio |
Authorized Official Name and Position | Thomas J Schmeiser (PRESIDENT) |
Authorized Official Contact | 3306338341 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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West Avenue Family Practice, Inc. 224 West Ave Tallmadge OH 44278-2110 Ph: (330) 633-8341 | West Avenue Family Practice, Inc. 224 West Ave Tallmadge OH 44278-2110 Ph: (330) 633-8341 |
NPI Number | 1831379643 |
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Provider Enumeration Date | 11/08/2007 |
Last Update Date | 11/08/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831379643 | NPI | - | NPPES |
2289456 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 34006905 (Ohio) | Primary |
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