Individual
DOUGLAS W WIDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
793 W STATE ST, COLUMBUS, OH 43222-1551
(614) 234-5100
Mailing address
DEPT L-647, COLUMBUS, OH 43260-0001
(866) 287-0568
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
35077393
OH
2085R0202X
Diagnostic Radiology Physician
35077393
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2152352
—
OH
Enumeration date
10/19/2005
Last updated
07/18/2007
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