Individual
JANSEN C MALLARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
730 W MARKET ST, LIMA, OH 45801
(419) 226-4310
(419) 226-4315
Mailing address
730 W MARKET ST, LIMA, OH 45801-4602
(419) 226-4310
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11018089A
IN
207Q00000X
Family Medicine Physician
Primary
35.134725
OH
Other
Enumeration date
05/28/2015
Last updated
08/13/2018
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