Organization
MAUMEE HEALTH & WELLNESS ASSOCIATES INC
Active
Other names
Dwight E Bryan DO
Organization subpart
No
Provider details
NPI number
Authorized official
DWIGHT E BRYAN DO (OWNER PRESIDENT)
(419) 887-0896
Entity
Organization
Contact information
Practice address
5757 MONCLOVA RD, SUITE 17, MAUMEE, OH 43537-1863
(419) 887-0896
(419) 893-3046
Mailing address
5757 MONCLOVA RD, SUITE 17, MAUMEE, OH 43537-1863
(419) 887-0896
(419) 893-3046
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00343732
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0704054
—
OH
01
—
CK6399
MEDICARE RAILROAD
OH
Enumeration date
01/22/2007
Last updated
04/20/2008
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