Medetc LLC

NPI #1487953634 in Lima, Ohio

Provider Information

NPI Number: 1487953634
Entity Type: Organization
Organization Name: Medetc LLC
Primary Specialty: Family Medicine
Enumeration Date: Mar 26, 2011
Last Updated: Mar 26, 2011

Practice Location

Address: 2718 CAROLYN DR
City: Lima
State: Ohio
ZIP Code: 45807-2310
Phone: (419) 302-3337

Authorized Official

Name: LAURA JEAN WALDRON, MD
Title: PRESIDENT
Phone: (419) 303-3466

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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