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NPI Code Detail

MEDICARE: DR. DAVID M ATWELL M.D.

MEDICARE:  DR. DAVID M ATWELL  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician35-038394OH
2207RS0012XSleep Medicine (Internal Medicine) Physician35-038394OH
3207RP1001XPulmonary Disease Physician35-038394OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00098925OTHEROHRRMEDICARE
20495779OTHEROHMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710936828
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID M ATWELL M.D.
Provider Business Mailing Address
First Line : PO BOX 407
Second Line :
City : PERRYSBURG
State : OH
Zip : 43552
Country : US
Telephone Number : 419-353-1063
Fax Number : 419-354-8095
Provider Business Practice Location Address
First Line : 960 W WOOSTER ST STE 108
Second Line :
City : BOWLING GREEN
State : OH
Zip : 43402-2646
Country : US
Telephone Number : 419-353-1063
Fax Number : 419-354-8095
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2006
Last Update Date : 11/08/2023

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Directions to “ DR. DAVID M ATWELL M.D.” Practice Location

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