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Individual

MATTHEW PAUL WAYT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
365 S CROWN HILL RD, ORRVILLE, OH 44667-9527
(330) 682-3075
(330) 682-7454
Mailing address
245 LAKEWOOD DR, ORRVILLE, OH 44667-1768
(330) 682-3075
(330) 682-7454

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2356
OH

Other

Enumeration date
06/28/2006
Last updated
12/09/2013
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