| Dwight E Bryan Do | |
|
5757 Monclova Rd Suite 17 Maumee OH 43537-1863 | |
| (419) 887-0896 | |
| (419) 893-3046 |
| Full Name | Dwight E Bryan Do |
|---|---|
| Speciality | Family Medicine |
| Location | 5757 Monclova Rd, Maumee, Ohio |
| Authorized Official Name and Position | Dwight E Bryan (OWNER PRESIDENT) |
| Authorized Official Contact | 4198870896 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dwight E Bryan Do 5757 Monclova Rd Suite 17 Maumee OH 43537-1863 Ph: (419) 887-0896 | Dwight E Bryan Do 5757 Monclova Rd Suite 17 Maumee OH 43537-1863 Ph: (419) 887-0896 |
| NPI Number | 1952455719 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952455719 | NPI | - | NPPES |
| 0704054 | Medicaid | OH | |
| CK6399 | Other | OH | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 00343732 (Ohio) | Primary |
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