Organization
MANN FAMILY CARE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHERYL MANN MD (OWNER)
(937) 596-0456
Entity
Organization
Contact information
Practice address
805 EAST PIKE STREET, JACKSON CENTER, OH 45334-0626
(937) 596-0456
(937) 596-0462
Mailing address
805 EAST PIKE STREET, JACKSON CENTER, OH 45334-0626
(937) 596-0456
(937) 596-0462
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35069861
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000233110
ANTHEM
OH
01
—
0005170529
AETNA
OH
05
—
2020306
—
OH
Enumeration date
01/23/2007
Last updated
09/15/2011
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