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Individual

MICHAEL F DEVLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2801 BAY PARK DR, OREGON, OH 43616-4920
(419) 690-7653
(419) 697-7726
Mailing address
2801 BAY PARK DR, OREGON, OH 43616-4920
(419) 690-7653
(419) 697-7726

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35-074601
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000520891
ANTHEM
OH
01
04097
PARAMOUNT
OH
05
2111431
OH
01
341881145-002
MMO
OH
05
5186390
MI
01
P00404498
RRMC
OH
Enumeration date
05/24/2005
Last updated
04/30/2012
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