Individual
MICHAEL S MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2994 MUD HOUSE RD NE, LANCASTER, OH 43130-8784
(719) 641-6043
Mailing address
2994 MUD HOUSE RD NE, LANCASTER, OH 43130-8784
(719) 641-6043
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
OH
Other
Enumeration date
04/19/2025
Last updated
04/19/2025
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