Individual
DR. MECCA GRACE MADHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3000 ARLINGTON AVE # MS 1088, TOLEDO, OH 43614-2595
(419) 383-6369
(419) 383-3357
Mailing address
1000 WATERMAN WAY, TAVARES, FL 32778-5266
(352) 253-3333
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34.014127
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2017
Last updated
07/21/2022
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