Mansfield Family Practice

NPI 1104823889 - Family Medicine - 207Q00000X

NPI Details
NPI 1104823889
Enumeration Date 07/07/2005
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name RAYMOND JOHN RAYMOND
Position PARTNER
Phone (419) 524-2212
Fax (419) 524-9040
Practice Location
248 BLYMYER AVE
MANSFIELD OH, 44903-2306, US
Phone (419) 524-2212
Fax (419) 524-9040
Business Location
248 BLYMYER AVE
MANSFIELD OH, 44903-2306, US
Phone (419) 524-2212
Fax (419) 524-9040
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Mansfield Family Practice NPI is 1104823889, taxonomy code is 207Q00000X Mansfield Family Practice physically located at 248 Blymyer Ave, Mansfield OH, 44903-2306. NPI Number 1033115704 has the healthcare provider type.

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1104823889 NPI number is provided on an as is basis without warranty of any kind. 1104823889 is maintained by the National Plan & Provider Enumeration System. The contents of Mansfield Family Practice are for informational purposes only.