| Anthony Wayne Family Practice Inc | |
|
5757 Monclova Rd Ste 24 Maumee OH 43537 | |
| (419) 897-2290 | |
| (419) 897-2290 |
| Full Name | Anthony Wayne Family Practice Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 5757 Monclova Rd, Maumee, Ohio |
| Authorized Official Name and Position | Bruce A Montgomery (PRESIDENT) |
| Authorized Official Contact | 4198972270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Wayne Family Practice Inc 5757 Monclova Rd Ste 24 Maumee OH 43537 Ph: (419) 897-2270 | Anthony Wayne Family Practice Inc 5757 Monclova Rd Ste 24 Maumee OH 43537 Ph: (419) 897-2290 |
| NPI Number | 1518940881 |
|---|---|
| Provider Enumeration Date | 11/21/2005 |
| Last Update Date | 07/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518940881 | NPI | - | NPPES |
| 000000142183 | Other | OH | ANTHEM BCBS |
| 0904927 | Medicaid | OH | |
| 02111 | Other | OH | PARAMOUNT HEALTH CARE |
| 236966123010 | Other | OH | MEDICAL MUTUAL OF OHIO |
| 236966123 | Other | OH | TRICARE |
| 080155060 | Other | OH | PALMETTO GBA RAILROAD MED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34004231M (Ohio) | Primary |
News Archive
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