Individual
DR. DAVID A WASSIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
365 WINDSOR LANE, SUITE 2, GIBSONBURG, OH 43431
(419) 637-2185
(419) 637-2790
Mailing address
365 WINDSOR LANE, SUITE 2, GIBSONBURG, OH 43431
(419) 637-2185
(419) 637-2790
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34003982
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000154663
ANTHEM
OH
01
—
02179
PARAMOUNT
OH
05
—
0594843
—
OH
Enumeration date
02/09/2006
Last updated
05/30/2008
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