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NPI Code Detail

MEDICARE: MAUMEE MEDICAL PARTNERS LTD

MEDICARE: MAUMEE MEDICAL PARTNERS LTD
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
1207Q00000XFamily Medicine Physician34004485OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CG7218OTHEROHMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
201973OTHEROHPARAMOUNT
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275516528
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAUMEE MEDICAL PARTNERS LTD
Provider Business Mailing Address
First Line : 111 CLINTON ST
Second Line :
City : MAUMEE
State : OH
Zip : 43537-2811
Country : US
Telephone Number : 419-893-7671
Fax Number : 419-893-0314
Provider Business Practice Location Address
First Line : 111 CLINTON ST
Second Line :
City : MAUMEE
State : OH
Zip : 43537-2811
Country : US
Telephone Number : 419-893-7671
Fax Number : 419-893-0314
Authorized Official
Title or Position : BILLING/CREDENTIALING MANAGER
Name : MOLLY MCLEAR
Credential :
Telephone Number : 419-893-7671
Provider Enumeration Date : 11/21/2005
Last Update Date : 12/12/2013

Similar Medicare Providers

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Practice Location Address:
111 CLINTON ST
MAUMEE, OH
43537-2811
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Practice Fax: 419-740-3033
1801396833 — KIMBERLY KRESE
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1629594908 — MELANIE LAMB LSW
Practice Location Address:
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43537-2811
Practice Phone: 419-740-3022
Practice Fax:
1831187103 — TODD FORREST DO
Practice Location Address:
119 CLINTON ST
MAUMEE, OH
43537-2811
Practice Phone: 419-893-8985
Practice Fax: 419-893-6766
1194708461 — GLT MEDICAL SERVICES LTD
Practice Location Address:
111 CLINTON ST
MAUMEE, OH
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1265417364 — JOCELYN J PERDEAU CNP
Practice Location Address:
111 CLINTON ST
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43537-2811
Practice Phone: 734-464-0887
Practice Fax: 734-402-0254

Directions to “MAUMEE MEDICAL PARTNERS LTD ” Practice Location

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