| Family Practice Associates Of Antwerp | |
|
422 W River St Antwerp OH 45813-8417 | |
| (419) 258-5195 | |
| (419) 258-2620 |
| Full Name | Family Practice Associates Of Antwerp |
|---|---|
| Speciality | Clinic/center |
| Location | 422 W River St, Antwerp, Ohio |
| Authorized Official Name and Position | Todd Michael Wiley (PHYSICIAN/OWNER) |
| Authorized Official Contact | 4192585195 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Associates Of Antwerp 422 W River St Antwerp OH 45813-8417 Ph: (419) 258-5195 | Family Practice Associates Of Antwerp 422 W River St Antwerp OH 45813-8417 Ph: (419) 258-5195 |
| NPI Number | 1144418260 |
|---|---|
| Provider Enumeration Date | 10/15/2007 |
| Last Update Date | 10/15/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144418260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Community Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 Buffalo St, Antwerp, OH 45813 Phone: 419-542-5495 | |
Community Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 422 W River St, Antwerp, OH 45813 Phone: 419-258-2620 |