Individual
DR. EDWARD RANDOLPH HANDYSIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
442 W HIGH ST, BRYAN, OH 43506-1681
(419) 636-4517
(419) 636-6438
Mailing address
442 W HIGH ST, BRYAN, OH 43506-1681
(419) 636-4517
(419) 636-6438
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35095037
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3075667
—
OH
Enumeration date
08/01/2008
Last updated
02/10/2014
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