| Wyandot Memorial Hospital Physician Services B | |
|
103 N Pennington St Sycamore OH 44882-9408 | |
| (419) 927-6552 | |
| (419) 927-6500 |
| Full Name | Wyandot Memorial Hospital Physician Services B |
|---|---|
| Speciality | Family Medicine |
| Location | 103 N Pennington St, Sycamore, Ohio |
| Authorized Official Name and Position | Mary Anne Schwenning (MEDICAL STAFF COORDINATOR) |
| Authorized Official Contact | 4192944991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wyandot Memorial Hospital Physician Services B 885 N Sandusky Avenue Upper Sandusky OH 43351-1098 Ph: (419) 294-4991 | Wyandot Memorial Hospital Physician Services B 103 N Pennington St Sycamore OH 44882-9408 Ph: (419) 927-6552 |
| NPI Number | 1053827303 |
|---|---|
| Provider Enumeration Date | 12/22/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053827303 | NPI | - | NPPES |
| 9687512 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Wyandot Medical Providers At Sycamore Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 412 W Saffel Ave, Sycamore, OH 44882 Phone: 419-927-6552 Fax: 419-927-6500 | |
Sycamore Medical Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 N Pennington St, Sycamore, OH 44882 Phone: 419-927-6552 Fax: 419-927-6500 |