| Wayne Internal Medicine | |
|
128 East Milltown Road Suite 101 Wooster OH 44691-6109 | |
| (330) 262-1700 | |
| (330) 345-8980 |
| Full Name | Wayne Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 128 East Milltown Road, Wooster, Ohio |
| Authorized Official Name and Position | Osama Mitri (PRESIDENT) |
| Authorized Official Contact | 3302621700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wayne Internal Medicine Po Box 1206 Wooster OH 44691-7083 Ph: (330) 262-1700 | Wayne Internal Medicine 128 East Milltown Road Suite 101 Wooster OH 44691-6109 Ph: (330) 262-1700 |
| NPI Number | 1316126576 |
|---|---|
| Provider Enumeration Date | 10/24/2007 |
| Last Update Date | 11/03/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316126576 | NPI | - | NPPES |
| 000000279626 | Other | OH | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35077131 (Ohio) | Primary |
News Archive
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