Waverly Medical Practice,inc.

NPI #1386826766 in Waverly, Ohio

Provider Information

NPI Number
1386826766
Entity Type
Organization
Organization Name
Waverly Medical Practice,inc.
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Nov 28, 2007
Last Updated
Mar 21, 2008

Practice Location

Address
207 ST ANNS LN
State
Ohio
ZIP Code
45690-1040
Phone
(740) 708-5478

Authorized Official

Name
KENNETH ARTHUR WILKINSON, M.D.
Title
OWNER
Phone
(740) 947-2383

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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