Family Practice Associates of Antwerp

NPI #1144418260 in Antwerp, Ohio

Provider Information

NPI Number
1144418260
Entity Type
Organization
Organization Name
Family Practice Associates of Antwerp
Primary Specialty
Clinic/Center
Enumeration Date
Oct 15, 2007
Last Updated
Oct 15, 2007

Practice Location

Address
422 W RIVER ST
State
Ohio
ZIP Code
45813-8417
Phone
(419) 258-5195

Authorized Official

Name
TODD MICHAEL WILEY, MD
Title
PHYSICIAN/OWNER
Phone
(419) 258-5195

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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