Midway - Fort Jennings | |
200 Progressive Drive Fort Jennings OH 45844 | |
(419) 453-1111 | |
Not Available |
Full Name | Midway - Fort Jennings |
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Speciality | Clinic/center - Multi-specialty |
Location | 200 Progressive Drive, Fort Jennings, Ohio |
Authorized Official Name and Position | Jonathan B Leizman (PRESIDENT) |
Authorized Official Contact | 2164799063 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Midway - Fort Jennings 5500 Maryland Way Brentwood TN 37027-7048 Ph: () - | Midway - Fort Jennings 200 Progressive Drive Fort Jennings OH 45844 Ph: (419) 453-1111 |
NPI Number | 1447926845 |
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Provider Enumeration Date | 08/17/2021 |
Last Update Date | 08/16/2022 |
Identifier | Type | State | Issuer |
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1447926845 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |