Individual
JEFFREY SCOTT BURNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
660 BEAVER CREEK CIR, # 110, MAUMEE, OH 43537-1745
(419) 891-6210
(419) 893-3232
Mailing address
660 BEAVER CREEK CIR, # 110, MAUMEE, OH 43537-1745
(419) 891-6210
(419) 893-3232
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34011393
OH
207QS0010X
Sports Medicine (Family Medicine) Physician
34-011393
OH
Other
Enumeration date
05/26/2011
Last updated
01/08/2018
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