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Organization
WELLCARE PHYSICIANS GROUP LLC
Active
Organization
WELLCARE PHYSICIANS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY BURMEISTER (ADMINISTRATIVE DIRECTOR, FINANCE)
(419) 891-8024
Entity
Organization
Contact information
Practice address
5901 MONCLOVA RD, MAUMEE, OH 43537-1841
(419) 891-8024
Mailing address
4235 SECOR RD, TOLEDO, OH 43623-4231
(419) 214-4214
(419) 479-5593
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
89211
OH
207R00000X
Internal Medicine Physician
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2842704
—
OH
Enumeration date
06/25/2007
Last updated
07/21/2022
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