Organization
M E D F PHYSICIANS CORPORATION
Active
Other names
Mercer Health Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
LISA KLENKE (CEO)
(419) 678-5117
Entity
Organization
Contact information
Practice address
830 W MAIN ST, COLDWATER, OH 45828-1657
(567) 890-7185
(419) 586-0812
Mailing address
800 W MAIN ST, COLDWATER, OH 45828-1613
(419) 678-2341
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208800000X
Urology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2330196
—
OH
Enumeration date
06/19/2006
Last updated
07/30/2020
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