Individual
DR. MANUEL FLORENT JULIAN PATRICIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
730 W MARKET ST, LIMA, OH 45801-4602
(419) 226-9024
Mailing address
589 WILDBROOK LN, LIMA, OH 45807-1991
(419) 999-1060
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.068409
OH
207Q00000X
Family Medicine Physician
35.068409
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000317857
ANTHEM BCBS
—
05
—
0198674
—
OH
01
—
P00060423
RAILROAD MEDICARE
—
01
—
P00060425
MEDICARE RR
OH
Enumeration date
04/25/2006
Last updated
05/17/2013
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