Organization
NORTH CENTRAL INTERNAL MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY WAYNE MUMMERT D.O. (PRESIDENT)
(419) 663-8808
Entity
Organization
Contact information
Practice address
32 EXECUTIVE DR, NORWALK, OH 44857-2480
(419) 663-8808
(419) 668-5334
Mailing address
32 EXECUTIVE DR, NORWALK, OH 44857-2480
(419) 663-8808
(419) 668-5334
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
OH
Other
Enumeration date
09/09/2005
Last updated
12/21/2007
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