Organization
MISHR ENDOCRINOLOGY & DIABETES CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUMAN KUMAR MISHR MD (PRESIDENT)
(419) 645-4343
Entity
Organization
Contact information
Practice address
306 REICHELDERFER RD, CRIDERSVILLE, OH 45806-2252
(419) 645-4343
(419) 645-4443
Mailing address
306 REICHELDERFER RD, CRIDERSVILLE, OH 45806-2252
(419) 645-4343
(419) 645-4443
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
35.041221
OH
Other
Enumeration date
08/09/2012
Last updated
10/01/2012
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