M & K Family and Sports Medicine, Inc.

NPI #1356432926 in Glandorf, Ohio

Provider Information

NPI Number: 1356432926
Entity Type: Organization
Organization Name: M & K Family and Sports Medicine, Inc.
Primary Specialty: Family Medicine
Enumeration Date: Sep 27, 2006
Last Updated: Nov 23, 2009

Practice Location

Address: 601 US 224
City: Glandorf
State: Ohio
ZIP Code: 45848
Phone: (419) 538-7330

Authorized Official

Name: LINDA A MANSFIELD, M.D.
Title: PRESIDENT
Phone: (419) 538-7330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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