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Dr. Wainwright Anthony Jaggernauth, MD
Radiation Oncology Physician in Bryan, Ohio
NPI 1689670580

Wainwright Anthony Jaggernauth is a Radiation Oncology Physician based in Bryan, OH and is specialized in Radiation Oncology. Wainwright Anthony Jaggernauth practices in Bryan, OH and has the professional credentials of MD. The NPI Number for Wainwright Anthony Jaggernauth is 1689670580 and holds a License No. 4301093974 (Ohio).

The current practice location address for Wainwright Anthony Jaggernauth is 524 W High St, Bryan, OH and can be reached out via phone at 419-636-9800 and via fax at 419-636-0451.

Location: 524 W High St, Bryan, OH, 43506-1690
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689670580
Provider Name
Wainwright Anthony Jaggernauth
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
524 W High St, Bryan, OH, 43506-1690
Phone Number
419-636-9800
Fax Number
419-636-0451
Provider Enumeration Date
06/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02460520 05 NY
1689670580 01 MI MI MEDICAID-OH LOCATIONS
1689670580 05 MI
2949920 05 OH
P00746491 01 OH RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
524 W High St
City
Bryan
State
Ohio
Zip
43506-1618
Phone Number
419-636-9800
Fax Number
419-636-0451
person
Provider Business Mailing Address Details
Address
524 W High St
City
Bryan
State
Ohio
Zip
43506-1618
Phone Number
419-636-9800
Fax Number
419-636-0451
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
4301093974 (Michigan)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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