Healthcare Provider Details

I. General information

NPI: 1255358032
Provider Name (Legal Business Name): JOHN WALTER WERNING MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 11/03/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6005 MONCLOVA RD SUITE 320
MAUMEE OH
43537-1864
US

IV. Provider business mailing address

1 SEAGATE SUITE 800
TOLEDO OH
43604-1558
US

V. Phone/Fax

Practice location:
  • Phone: 419-578-7555
  • Fax: 419-539-6336
Mailing address:
  • Phone: 419-824-7451
  • Fax: 419-824-7359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberME84920
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: