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NPI Code Detail

MEDICARE: MANSFIELD OBSTETRICS & GYNECOLOGY ASSOCIATES INC

MEDICARE: MANSFIELD OBSTETRICS & GYNECOLOGY ASSOCIATES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265500953
Entity Type Code : Organization
Provider Name (Legal Business Name) : MANSFIELD OBSTETRICS & GYNECOLOGY ASSOCIATES INC
Provider Business Mailing Address
First Line : 500 S TRIMBLE RD
Second Line :
City : MANSFIELD
State : OH
Zip : 44906-4103
Country : US
Telephone Number : 419-756-6000
Fax Number : 419-756-1774
Provider Business Practice Location Address
First Line : 500 S TRIMBLE RD
Second Line :
City : MANSFIELD
State : OH
Zip : 44906-4103
Country : US
Telephone Number : 419-756-6000
Fax Number : 419-756-8721
Authorized Official
Title or Position : INSURANCE TEAM LEADER
Name : MRS. RONDA LYNN MAYNOR
Credential :
Telephone Number : 419-756-6000
Provider Enumeration Date : 12/01/2006
Last Update Date : 08/17/2018

Similar Medicare Providers

1235132523 — DR. MICHAEL D GUNZENHAEUSER M.D.
Practice Location Address:
500 S TRIMBLE RD
MANSFIELD, OH
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Practice Phone: 419-756-6000
Practice Fax: 479-756-1774
1063415347 — DR. EDROY L MCMILLAN M.D.
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1033112305 — DR. ALLISON PRUETT M.D.
Practice Location Address:
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MANSFIELD, OH
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Practice Phone: 419-756-6000
Practice Fax: 419-756-1774
1104820737 — ARTHUR HUNTER WILSON M.D.
Practice Location Address:
500 S TRIMBLE RD
MANSFIELD, OH
44906-4103
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Practice Fax: 419-756-1774
1255463030 — SHANNON L MALIKOWSKI CNP
Practice Location Address:
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1194940791 — NATALIE JANE GAILEY CNP
Practice Location Address:
500 S TRIMBLE RD
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Practice Fax: 419-756-1774

Directions to “MANSFIELD OBSTETRICS & GYNECOLOGY ASSOCIATES INC ” Practice Location

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