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Organization
SANDUSKY MEDICAL & PAIN CLINIC
Active
Organization
SANDUSKY MEDICAL & PAIN CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISSAM AHMAD AL-TURK M.D. (OWNER)
(419) 621-1555
Entity
Organization
Contact information
Practice address
208 E PERKINS AVE, SANDUSKY, OH 44870-4905
(419) 621-1555
(419) 621-1405
Mailing address
208 E PERKINS AVE, SANDUSKY, OH 44870-4905
(419) 621-1555
(419) 621-1405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35074103
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2053334
—
OH
Enumeration date
12/20/2007
Last updated
05/01/2008
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