Provider Demographics
NPI:1770586984
Name:METZ, JOSEPH M (MD)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:M
Last Name:METZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1958 E US HIGHWAY 36
Mailing Address - Street 2:
Mailing Address - City:URBANA
Mailing Address - State:OH
Mailing Address - Zip Code:43078-9799
Mailing Address - Country:US
Mailing Address - Phone:937-652-1834
Mailing Address - Fax:937-652-1619
Practice Address - Street 1:1958 E US HIGHWAY 36
Practice Address - Street 2:
Practice Address - City:URBANA
Practice Address - State:OH
Practice Address - Zip Code:43078-9799
Practice Address - Country:US
Practice Address - Phone:937-652-1834
Practice Address - Fax:937-652-1619
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35082844207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2412240Medicaid
OHH87476Medicare UPIN
OHME4109721Medicare ID - Type Unspecified