Organization
EMMA L BIXBY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY L DWYER (CREDENTIAILNG SUPERVISOR)
(419) 824-7334
Entity
Organization
Contact information
Practice address
5855 MONROE ST, SYLVANIA, OH 43560-2269
(419) 824-7334
(419) 824-7359
Mailing address
5855 MONROE ST, SYLVANIA, OH 43560-2269
(419) 824-7334
(419) 824-7359
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
MI
207R00000X
Internal Medicine Physician
—
MI
207RC0000X
Cardiovascular Disease Physician
Primary
—
MI
363A00000X
Physician Assistant
—
MI
363L00000X
Nurse Practitioner
—
MI
Other
Enumeration date
10/08/2013
Last updated
10/08/2013
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