Organization
MERCY SPECIALTY CLINIC
Active
Other names
MercyOne Fulton Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MELLISSA WOOD (COO/CNO)
(563) 244-5608
Entity
Organization
Contact information
Practice address
1705 16TH AVE, FULTON, IL 61252-9708
(815) 589-2121
(815) 589-4468
Mailing address
621 S ILLINOIS AVE STE 103, MASON CITY, IA 50401-5489
(641) 428-3900
(641) 428-3059
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/29/2019
Last updated
10/17/2024
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