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Fountain City Medical Clinic Inc
General Practice Physician in Bryan, Ohio
NPI 1083886915

Fountain City Medical Clinic Inc is a General Practice Physician based in Bryan, OH. Fountain City Medical Clinic Inc practices in Bryan, OH. The NPI Number for Fountain City Medical Clinic Inc is 1083886915 and holds a License No. 35033085 (Ohio).

The current practice location address for Fountain City Medical Clinic Inc is 324 W High St, Bryan, OH and can be reached out via phone at 419-636-2525 and via fax at 419-636-0632.

Location: 324 W High St, Bryan, OH, 43506-1614
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083886915
Provider Name
Fountain City Medical Clinic Inc
Credential
Provider Entity Type
Organization
Address
324 W High St, Bryan, OH, 43506-1614
Phone Number
419-636-2525
Fax Number
419-636-0632
Provider Enumeration Date
04/01/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
324 W High St
City
Bryan
State
Ohio
Zip
43506-1614
Phone Number
419-636-2525
Fax Number
419-636-0632
person
Provider Business Mailing Address Details
Address
324 W High St
City
Bryan
State
Ohio
Zip
43506-1614
Phone Number
419-636-2525
Fax Number
419-636-0632
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
35033085 (Ohio)
Definition
Definition to come...
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