Upper Sandusky Medical Assoc INC

NPI #1215936075 in Upper Sandusky, Ohio

Provider Information

NPI Number: 1215936075
Entity Type: Organization
Organization Name: Upper Sandusky Medical Assoc INC
Primary Specialty: General Practice
Enumeration Date: Jul 14, 2005
Last Updated: Jul 21, 2022

Practice Location

Address: 777 N SANDUSKY AVE
City: Upper Sandusky
State: Ohio
ZIP Code: 43351-1075
Phone: (419) 294-2375

Authorized Official

Name: DR. KONSTANTINE K SOLACOFF, MD
Title: CORPORATION PRESIDENT
Phone: (419) 294-2375

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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