Individual
MICHAEL F BOSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7 STINTON LN, MIAMISBURG, OH 45342-6618
(937) 859-6184
Mailing address
7 STINTON LN, MIAMISBURG, OH 45342-6618
(937) 859-6184
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-002736
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
329356-5
—
OH
Enumeration date
08/07/2006
Last updated
07/08/2007
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