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Organization
MANTUA FAMILY HEALTHCARE
Active
Organization
MANTUA FAMILY HEALTHCARE
Active
Other names
David L Weldy MD Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANN C WELDY (OFFICE MANAGER)
(419) 861-3451
Entity
Organization
Contact information
Practice address
6693 N CHESTNUT ST, 10A&B, RAVENNA, OH 44266-3922
(419) 861-3451
(419) 861-3451
Mailing address
PO BOX 140333, TOLEDO, OH 43614-0333
(419) 861-3451
(419) 861-3451
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
35052329W
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000134223
ANTHEM
OH
01
—
01594
FAA
OH
05
—
0649249
—
OH
01
—
100766
KAISER
OH
01
—
314502699-00
BWC
OH
01
—
Q015911A
HOMETOWN
OH
Enumeration date
07/05/2007
Last updated
08/22/2020
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