Organization
COMMUNITY MERCY HEALTH PARTNERS
Active
Other names
Mercy Well Child Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK S. WIENER (PRESIDENT & CEO)
(937) 523-5501
Entity
Organization
Contact information
Practice address
904 SCIOTO STREET, URBANA, OH 43078-2226
(937) 484-6157
Mailing address
904 SCIOTO STREET, URBANA, OH 43078-2226
(937) 484-6157
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0920169
—
OH
05
—
3090793
—
OH
Enumeration date
05/01/2006
Last updated
04/04/2012
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