Individual
THOMAS EDWARD WIDMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
QBHS
Contact information
Practice address
123 S WASHINGTON ST, VAN WERT, OH 45891-1707
(419) 771-1050
Mailing address
123 S WASHINGTON ST, VAN WERT, OH 45891-1707
(419) 771-1050
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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