Organization
MEDI-WISE HEALTH MART INC
Active
Other names
Donaldson Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY DONALDSON (PRESIDENT)
(330) 364-2273
Entity
Organization
Contact information
Practice address
821 ANOLA AVENUE, SUITE E, DOVER, OH 44622-2075
(330) 364-2273
(330) 364-4182
Mailing address
PO BOX 1005, NEW PHILADELPHIA, OH 44663
(330) 364-2273
(330) 364-4182
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000155532
ANTHEM
OH
05
—
0496468
—
OH
Enumeration date
07/30/2006
Last updated
03/11/2009
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