Organization
MARYSVILLE PRIMARY CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH L BRAKE (OFFICE MANAGER/PARTNER)
(937) 644-1441
Entity
Organization
Contact information
Practice address
1044 COLUMBUS AVE, MARYSVILLE, OH 43040-8337
(937) 644-1441
(937) 642-7760
Mailing address
1044 COLUMBUS AVE, MARYSVILLE, OH 43040-8337
(937) 644-1441
(937) 642-7760
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
35073238M
OH
207Q00000X
Family Medicine Physician
58625
OH
207R00000X
Internal Medicine Physician
35073238M
OH
207R00000X
Internal Medicine Physician
57093
OH
208000000X
Pediatrics Physician
Primary
35073238M
OH
208000000X
Pediatrics Physician
57093
OH
363LF0000X
Family Nurse Practitioner
RN186421
OH
363LF0000X
Family Nurse Practitioner
RN215818
OH
Other
Enumeration date
05/27/2006
Last updated
09/11/2025
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