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Organization
ANTHONY WAYNE FAMILY PRACTICE INC
Active
Organization
ANTHONY WAYNE FAMILY PRACTICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE A MONTGOMERY DO (PRESIDENT)
(419) 897-2270
Entity
Organization
Contact information
Practice address
5757 MONCLOVA RD, STE 24, MAUMEE, OH 43537
(419) 897-2290
(419) 897-2290
Mailing address
5757 MONCLOVA RD, STE 24, MAUMEE, OH 43537
(419) 897-2270
(419) 897-2290
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34004231M
OH
Other
Enumeration date
11/21/2005
Last updated
07/29/2013
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