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Organization

MACHUCA MEDICAL LLC

Active
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Organization

MACHUCA MEDICAL LLC

Active
Other names
Machuca Medical
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JENNIFER LYNN MACHUCA MD (OWNER/ SOLO PHYSICIAN)
(937) 795-1101
Entity
Organization

Contact information

Practice address
8648 OLD TROY PIKE STE A, HUBER HEIGHTS, OH 45424-1057
(937) 795-1101
(937) 795-1120
Mailing address
8648 OLD TROY PIKE STE A, HUBER HEIGHTS, OH 45424-1057
(937) 795-1101
(937) 795-1120

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
92123
OH
261QP2300X
Primary Care Clinic/Center
—
—

Other

Enumeration date
10/11/2016
Last updated
07/06/2026
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