Organization
RS MEDICAL GROUP PC
Active
Other names
PERRYBURY PRIMARY CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISHNA M RAOTHAMAN MD (PRESIDENT)
(419) 874-0116
Entity
Organization
Contact information
Practice address
28442 E RIVER RD, SUITE 102, PERRYSBURG, OH 43551-2858
(419) 874-0116
(419) 874-2053
Mailing address
28442 E RIVER RD, SUITE 102, PERRYSBURG, OH 43551
(419) 874-0116
(419) 874-2053
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
35068087
MI
261QP2300X
Primary Care Clinic/Center
Primary
35068896
OH
Other
Enumeration date
06/22/2006
Last updated
08/22/2020
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