Dr Charles David Sr, MD - Emergency Medicine in Wauseon, OH

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Dr Charles David Sr, MD is a Emergency Medicine physician based in Wauseon, Ohio. Dr Charles David Sr is licensed to practice in Ohio (license number 35057726) and his current practice location is 725 S Shoop Ave, Wauseon, Ohio. He can be reached at his office (for appointments etc.) via phone at (419) 335-2015.

NPI number for Dr Charles David Sr is 1396712683 and his current mailing address is 3501 S Crissey Rd, Monclova, Ohio. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396712683.

Contact Information

Dr Charles David Sr, MD
725 S Shoop Ave,
Wauseon, OH 43567-1702
(419) 335-2015
Not Available

Map and Direction




Physician's Profile

Full NameDr Charles David Sr
GenderMale
SpecialityEmergency Medicine
Location725 S Shoop Ave, Wauseon, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1396712683
  • Provider Enumeration Date: 03/05/2006
  • Last Update Date: 11/16/2007

Medical Identifiers

Medical identifiers for Dr Charles David Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396712683NPI-NPPES
0725666MedicaidOH
5214037MedicaidMI
810547599071OtherOHCARESOURCE
000000522471OtherOHANTHEM BCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 35057726 (Ohio)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Charles David Sr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Charles David Sr, MD
3501 S Crissey Rd,
Monclova, OH 43542-9766

Ph: (419) 350-5652		Dr Charles David Sr, MD
725 S Shoop Ave,
Wauseon, OH 43567-1702

Ph: (419) 335-2015

Reviews and Comments


Emergency Medicine Doctors in Wauseon, OH


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