Provider Demographics
NPI:1700908399
Name:MEDICAL ASSOCIATES OF MID-OHIO INC
Entity Type:Organization
Organization Name:MEDICAL ASSOCIATES OF MID-OHIO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:STENCEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-289-1331
Mailing Address - Street 1:2109 CLAREMONT AVE
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44805-3547
Mailing Address - Country:US
Mailing Address - Phone:419-289-1331
Mailing Address - Fax:419-289-9496
Practice Address - Street 1:2109 CLAREMONT AVE
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OH
Practice Address - Zip Code:44805-3547
Practice Address - Country:US
Practice Address - Phone:419-289-1331
Practice Address - Fax:419-289-9496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty