Individual
DR. DAVID M ATWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
960 W WOOSTER ST STE 108, BOWLING GREEN, OH 43402-2646
(419) 353-1063
(419) 354-8095
Mailing address
PO BOX 407, PERRYSBURG, OH 43552
(419) 353-1063
(419) 354-8095
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-038394
OH
207RP1001X
Pulmonary Disease Physician
Primary
35-038394
OH
207RS0012X
Sleep Medicine (Internal Medicine) Physician
35-038394
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0470548
—
OH
01
—
0495779
MEDICARE PTAN
OH
01
—
P00098925
RRMEDICARE
OH
Enumeration date
05/08/2006
Last updated
11/08/2023
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