Individual
DR. TODD AARON MEREDITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3028 NAVARRE AVE, OREGON, OH 43616-3308
(419) 697-6850
Mailing address
26484 CARRINGTON BLVD, PERRYSBURG, OH 43551-9114
(419) 283-4497
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
35079145M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0826388
—
OH
01
—
26-3239286
BWC
OH
01
—
2912415781
NRCME
—
01
—
35079145M
STATE LICENSE
OH
01
—
65124918300
BWC
OH
Enumeration date
08/31/2005
Last updated
03/03/2020
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