Organization
BRIAN L. BACHELDER MD
Active
Other names
Bachelder Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN L BACHELDER M.D. (OWNER)
(419) 947-7015
Entity
Organization
Contact information
Practice address
642 W MARION RD, MOUNT GILEAD, OH 43338-1056
(419) 947-7015
(419) 947-7390
Mailing address
642 W MARION RD, MOUNT GILEAD, OH 43338-1056
(419) 947-7015
(419) 947-7390
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
49315
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0566070
—
OH
05
—
2246322
—
OH
Enumeration date
01/30/2008
Last updated
10/03/2008
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