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Organization
TERRENCE L JOHNSON & ROBERT C ADAMS PTR
Active
Organization
TERRENCE L JOHNSON & ROBERT C ADAMS PTR
Active
Other names
VAN WERT FAMILY PHYSICIANS
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY KAY SUTTON (OFFICE MANAGER)
(419) 238-6251
Entity
Organization
Contact information
Practice address
1178 PROFESSIONAL DR, VAN WERT, OH 45891-2461
(419) 238-6251
(419) 238-3002
Mailing address
1178 PROFESSIONAL DR, VAN WERT, OH 45891-2461
(419) 238-6251
(419) 238-3002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0506929
—
OH
01
—
DA5391
RR MEDICARE
OH
Enumeration date
02/07/2007
Last updated
04/05/2021
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