ONTARIO MINOR MEDICAL, LLC is a medical physician assistant in Ontario, OH. ONTARIO MINOR MEDICAL, LLC NPI is 1609504794. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
3401 PARK AVE W
ONTARIO, OH
ZIP 44906-047
Phone: (419) 775-5999
Fax: (567) 247-0527
The provider's authorized official is Dean Winslow Parsons .
The authorized official title is Owner/member and has the following contact phone number (419) 775-5999.
The CLIA number assigned to this NPI record is 36D2261413 - other - clinic/office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/8/2022 and was last updated on 8/8/2022.