Organization
BUCYRUS INTERNAL MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA C KRAFT (OFFICE MANAGER)
(419) 562-9834
Entity
Organization
Contact information
Practice address
510 HILL ST, BUCYRUS, OH 44820-1554
(419) 562-9834
(419) 562-9977
Mailing address
510 HILL ST, BUCYRUS, OH 44820-1554
(419) 562-9834
(419) 562-9977
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
34005746
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0931906
—
OH
Enumeration date
09/25/2007
Last updated
01/29/2008
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