PROVECTUS LTC LLC

COLUMBUS, OH
NPI1942973367
Entity TypeOrganization
Authorized ContactDIRK N JUSCHKA
Md
937-402-1000
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2021-07-30
Last Update Date2021-07-30
Business Address
PROVECTUS LTC LLC
300 W SPRING ST UNIT 702
COLUMBUS, OH 43215-7651
Phone number: 937-402-1000
Mailing Address
PROVECTUS LTC LLC
PO BOX 609
LUCASVILLE, OH 45648-0609
Phone number: 937-402-1000
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