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Organization

FISHER-TITUS MEDICAL CARE LLC

Active
Parent organization
FISHER-TITUS MEDICAL CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
FISHER-TITUS MEDICAL CENTER
Authorized official
BRENT BURKEY (CEO)
(419) 668-8101
Entity
Organization

Contact information

Practice address
272 BENEDICT AVENUE, NORWALK, OH 44857
(419) 668-8101
(419) 660-2686
Mailing address
272 BENEDICT AVE, NORWALK, OH 44857-2374
(419) 668-8101
(419) 660-2686

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2807109
OH
01
36D0946912
CLIA
01
DG8412
MEDICARE RR
OH
Enumeration date
12/27/2007
Last updated
04/29/2026
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