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Michael Blaine Widmer, DO
Student in an Organized Health Care Education/Training Program in Lima, Ohio
NPI 1497490254

Michael Blaine Widmer is a Student in an Organized Health Care Education/Training Program based in Bend, OH. Michael Blaine Widmer practices in Lima, OH and has the professional credentials of DO. The NPI Number for Michael Blaine Widmer is 1497490254 and holds a License No. (Ohio).

The current practice location address for Michael Blaine Widmer is 730 W Market St, Lima, OH and can be reached out via phone at 419-227-3361.

Location: 730 W Market St, Lima, OH, 97701-8348
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497490254
Provider Name
Michael Blaine Widmer
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
730 W Market St, Lima, OH, 97701-8348
Phone Number
419-227-3361
Fax Number
Provider Enumeration Date
05/04/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
730 W Market St
City
Lima
State
Ohio
Zip
45801-4602
Phone Number
419-227-3361
Fax Number
person
Provider Business Mailing Address Details
Address
730 W Market St
City
Lima
State
Ohio
Zip
45801-4602
Phone Number
419-227-3361
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Ohio)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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