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Individual

BRYAN LEE SCHINAMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
6611 CLYO RD STE D, CENTERVILLE, OH 45459-2785
(937) 208-7350
Mailing address
3170 KETTERING BLVD BLDG B, MORAINE, OH 45439-1924
(937) 991-3188
(937) 223-9811

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004543RX
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0153489
OH
Enumeration date
12/29/2015
Last updated
04/04/2022
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