Individual
DR. ERIC MAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1019 PIERCE ST, SANDUSKY, OH 44870-4633
(419) 626-1118
Mailing address
1019 PIERCE ST, SANDUSKY, OH 44870-4633
(419) 626-1118
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-006386
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0257985
—
OH
01
—
080100471
RAILROAD MEDICARE PTAN
OH
Enumeration date
07/07/2005
Last updated
03/03/2011
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