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NPI Code Detail

MEDICARE: AUGLAIZE FAMILY PRACTICE CENTER LLC

MEDICARE: AUGLAIZE FAMILY PRACTICE CENTER LLC
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 PhysicianOH

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 : 1588654230
Entity Type Code : Organization
Provider Name (Legal Business Name) : AUGLAIZE FAMILY PRACTICE CENTER LLC
Provider Business Mailing Address
First Line : PO BOX 359
Second Line :
City : WAPAKONETA
State : OH
Zip : 45895-0359
Country : US
Telephone Number : 419-738-9601
Fax Number : 419-941-1368
Provider Business Practice Location Address
First Line : 1007 W AUGLAIZE ST
Second Line :
City : WAPAKONETA
State : OH
Zip : 45895-1351
Country : US
Telephone Number : 419-738-9601
Fax Number : 419-941-1368
Authorized Official
Title or Position : OFFICE MANAGER
Name : MRS. AMY DALE HOYT
Credential :
Telephone Number : 419-738-9680
Provider Enumeration Date : 10/25/2005
Last Update Date : 12/08/2009

Similar Medicare Providers

1053301614 — DR. PARMIE A HERMAN M.D.
Practice Location Address:
1007 W AUGLAIZE ST
WAPAKONETA, OH
45895-1351
Practice Phone: 419-738-9601
Practice Fax: 419-941-1368
1497745137 — DR. GEORGE A HERMAN M.D.
Practice Location Address:
1007 W AUGLAIZE ST
WAPAKONETA, OH
45895-1351
Practice Phone: 419-738-9601
Practice Fax: 419-941-1368
1821251562 — DR. JAMIE A. SZELAGOWSKI M.D.
Practice Location Address:
1007 W AUGLAIZE ST
WAPAKONETA, OH
45895-1351
Practice Phone: 419-738-9601
Practice Fax: 419-738-9749
1073106746 — MRS. MELISSA ANN FOGT APRN-CNP
Practice Location Address:
1007 W AUGLAIZE ST
WAPAKONETA, OH
45895-1351
Practice Phone: 419-738-9601
Practice Fax: 419-738-9749
1144956582 — HEATHER SELBY APRN, FNP-C
Practice Location Address:
1007 W AUGLAIZE ST
WAPAKONETA, OH
45895-1351
Practice Phone: 419-738-9601
Practice Fax: 419-738-6459
1609706324 — ALISHA MARIE KRETZER
Practice Location Address:
19036 WAPAKONETA CRIDERSVLE RD
WAPAKONETA, OH
45895-7638
Practice Phone: 567-242-4755
Practice Fax:

Directions to “AUGLAIZE FAMILY PRACTICE CENTER LLC ” Practice Location

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