Anthony Wayne Family Practice INC

NPI #1518940881 in Maumee, Ohio

Provider Information

NPI Number: 1518940881
Entity Type: Organization
Organization Name: Anthony Wayne Family Practice INC
Primary Specialty: Family Medicine
Enumeration Date: Nov 21, 2005
Last Updated: Jul 29, 2013

Practice Location

Address: 5757 MONCLOVA RD
Address 2: STE 24
City: Maumee
State: Ohio
ZIP Code: 43537
Phone: (419) 897-2290

Authorized Official

Name: BRUCE A MONTGOMERY, DO
Title: PRESIDENT
Phone: (419) 897-2270

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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