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Individual

BRIAN ROBERT MCMANUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
928 DIXIE HWY, ROSSFORD, OH 43460-1333
(419) 666-5299
Mailing address
928 DIXIE HWY, ROSSFORD, OH 43460-1333
(419) 666-5299

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36003774
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0180801
OH
Enumeration date
03/29/2013
Last updated
10/26/2016
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