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Individual

GLEN T SEAMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
935 E SNYDER AVE, MONTPELIER, OH 43543-1251
(419) 485-3106
(419) 485-8776
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.082440
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2418066
OH
01
P00035808
RAILROAD
OH
Enumeration date
06/18/2006
Last updated
12/05/2022
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