Individual
DR. DARRELL LEROY WIDMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 S MAIN ST, SUITE B, RITTMAN, OH 44270-1914
(330) 925-3857
(330) 925-4016
Mailing address
525 E MARKET ST, PO BOX 2090, AKRON, OH 44304-1619
(330) 996-0347
(330) 996-0359
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-07-1171-W
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2076999
—
OH
Enumeration date
01/26/2006
Last updated
01/14/2013
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