Individual
DR. ETHAN WAINBLAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
730 W MARKET ST, LIMA, OH 45801-4602
(419) 227-3361
Mailing address
730 W MARKET ST, LIMA, OH 45801-4602
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
3431
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
04/06/2022
Last updated
02/03/2025
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