Individual
MATTHEW WIDMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3960 E HARBOR RD, PORT CLINTON, OH 43452
(419) 732-0700
(419) 732-0702
Mailing address
1031 PIERCE ST, SANDUSKY, OH 44870-4669
(419) 557-5541
(419) 557-5542
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-011496
OH
Other
Enumeration date
03/28/2013
Last updated
06/18/2018
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