David A Wassil Do Inc | |
365 Windsor Ln Suite 2 Gibsonburg OH 43431-1448 | |
(419) 637-2185 | |
(419) 637-2790 |
Full Name | David A Wassil Do Inc |
---|---|
Speciality | Family Medicine |
Location | 365 Windsor Ln, Gibsonburg, Ohio |
Authorized Official Name and Position | David A Wassil (PRESIDENT) |
Authorized Official Contact | 4196372185 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
David A Wassil Do Inc 365 Windsor Lane Suite 2 Gibsonburg OH 43431 Ph: (419) 637-2185 | David A Wassil Do Inc 365 Windsor Ln Suite 2 Gibsonburg OH 43431-1448 Ph: (419) 637-2185 |
NPI Number | 1568496420 |
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Provider Enumeration Date | 07/10/2006 |
Last Update Date | 11/10/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568496420 | NPI | - | NPPES |
02179 | Other | OH | PARAMOUNT |
000000173630 | Other | OH | ANTHEM |
0594843 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 34003982 (Ohio) | Primary |