Individual
BRIAN D CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
335 GLESSNER AVE, MANSFIELD, OH 44903-2269
(419) 522-0320
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
(419) 522-0320
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50001773
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075956
—
OH
Enumeration date
09/13/2006
Last updated
10/30/2024
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