Organization
FAMILY PRACTICE ASSOCIATES OF ANTWERP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD MICHAEL WILEY MD (PHYSICIAN/OWNER)
(419) 258-5195
Entity
Organization
Contact information
Practice address
422 W RIVER ST, ANTWERP, OH 45813-8417
(419) 258-5195
(419) 258-2620
Mailing address
422 W RIVER ST, ANTWERP, OH 45813-8417
(419) 258-5195
(419) 258-2620
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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