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Organization
PARTNERS PHYSICIAN GROUP
Active
Organization
PARTNERS PHYSICIAN GROUP
Active
Other names
Akron General Seville Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL TAILLARD (DIRECTOR, FINANCE)
(330) 344-6095
Entity
Organization
Contact information
Practice address
231 CENTER ST, SEVILLE, OH 44273-8864
(330) 769-4695
(330) 769-4936
Mailing address
231 CENTER ST, SEVILLE, OH 44273-8864
(330) 769-4695
(330) 769-4936
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-075449
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841239274
PARTNERS PHYSICIAN GROUP NPI GROUP #
OH
01
—
2551671
PARTNERS PHYSICIAN GROUP MEDICAID GROUP #
OH
01
—
9338635
PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
OH
Enumeration date
11/03/2010
Last updated
12/07/2010
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