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Organization

MAUMEE MEDICAL PARTNERS LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MOLLY MCLEAR (BILLING/CREDENTIALING MANAGER)
(419) 893-7671
Entity
Organization

Contact information

Practice address
111 CLINTON ST, MAUMEE, OH 43537-2811
(419) 893-7671
(419) 893-0314
Mailing address
111 CLINTON ST, MAUMEE, OH 43537-2811
(419) 893-7671
(419) 893-0314

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34004485
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01973
PARAMOUNT
OH
05
2174445
OH
01
CG7218
MEDICARE RAILROAD
OH
Enumeration date
11/21/2005
Last updated
12/12/2013
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