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Individual

MICHAEL C JOSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1140 S KNOXVILLE AVE STE A, SAINT MARYS, OH 45885-2609
(419) 394-9959
(419) 394-0255
Mailing address
200 SAINT CLAIR AVE, SAINT MARYS, OH 45885-2400
(419) 300-1129
(419) 394-0255

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
35-068572
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0105065
MEDICAID GROUP
OH
05
0206191
OH
01
9934723
MEDICARE GROUP PTAN
OH
Enumeration date
08/08/2006
Last updated
04/16/2021
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