# FAMILY HEALTH CARE OF MARYSVILLE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770539629
- **Authorized official:** DR. CONNIE J. WARREN M.D. (OWNER)
- **Authorized official phone:** (937) 578-2860

## Contact information

- **Practice address:** 681 LONDON AVE, MARYSVILLE, OH 43040-1599
- **Practice address phone:** (937) 642-2862
- **Practice address fax:** (937) 642-9862
- **Mailing address:** 200 BRADENTON AVE, DUBLIN, OH 43017-7515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 35-05-5046 | OH | Yes |

## Other

- **Enumeration date:** 05/25/2006
- **Last updated:** 09/06/2007