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Individual

WAYNE C. AMENDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
280 PATTONSVILLE RD, JACKSON, OH 45640-9452
(740) 395-8805
(740) 395-8855
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 395-8805
(740) 395-8855

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35-05-2501
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000181661
UNISON MEDICAID
OH
01
000000192900
ANTHEM BCBS
01
001714122
MOUNTAIN STATE BCBS
01
0836288
MOLINA MEDICAID
OH
05
0836288
OH
05
1801677000
WV
01
200039910
RR MEDICARE
01
310917085086
CARESOURCE MEDICAID
OH
Enumeration date
05/17/2006
Last updated
08/07/2014
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