Individual
DAVID PAUL ANDROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
629 N SANDUSKY AVE, BUCYRUS, OH 44820-1821
(419) 562-4677
(419) 562-0987
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35060133
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000243730
BCBS MARION
OH
01
—
000000316689
BCBS PROVIDER # BUCYRUS
OH
05
—
0841601
—
OH
01
—
P00820766
RAILROAD MEDICARE
OH
Enumeration date
04/21/2006
Last updated
06/24/2013
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