MERCY HEALTH PHYSICIANS NORTH SPECIALTY CARE LLC NPI 1255093597

NPI Information

MERCY HEALTH PHYSICIANS NORTH SPECIALTY CARE LLC is a customized equipment durable medical equipment medical supplies in Perrysburg, OH. MERCY HEALTH PHYSICIANS NORTH SPECIALTY CARE LLC NPI is 1255093597. The provider is registered as an organization entity type.

The provider's business location address is:

521 LOUISIANA AVE
PERRYSBURG, OH
ZIP 43551-272
Phone: (419) 874-6888
Fax: (419) 848-6891

The provider's authorized official is Wilbur Gay .
The authorized official title is Cfo and has the following contact phone number (864) 605-3762.

The CLIA number assigned to this NPI record is 36D0952563 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/13/2021 and was last updated on 10/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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