Organization
MERCY HEALTH PHYSICIANS - NORTH, LLC
Active
Other names
Mercy Health - Perrysburg Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
TODD CLARK (CPCS)
(248) 520-8637
Entity
Organization
Contact information
Practice address
521 LOUISIANA AVE, PERRYSBURG, OH 43551-2272
(419) 874-6888
(419) 848-6891
Mailing address
1701 MERCY HEALTH PL, CINCINNATI, OH 45237-6147
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
07/22/2019
Last updated
07/25/2023
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