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Organization
SYLVAN LAKES FAMILY PHYSICIANS LTD
Active
Organization
SYLVAN LAKES FAMILY PHYSICIANS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP H FISHER M.D. (PRESIDENT)
(419) 517-1001
Entity
Organization
Contact information
Practice address
7640 SYLVANIA AVE, SUITE K, SYLVANIA, OH 43560-9729
(419) 517-1001
(419) 517-1021
Mailing address
7640 SYLVANIA AVE, SUITE K, SYLVANIA, OH 43560-9729
(419) 517-1001
(419) 517-1021
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2516503
—
OH
01
—
DC0712
RAILROAD MEDICARE
OH
Enumeration date
11/30/2007
Last updated
02/04/2013
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