Healthcare Provider Details

I. General information

NPI: 1316869118
Provider Name (Legal Business Name): MICHAEL DEAN MEISNER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4352 W SYLVANIA AVE
TOLEDO OH
43623-3463
US

IV. Provider business mailing address

3106 HEATHER DOWNS DR
FINDLAY OH
45840-2900
US

V. Phone/Fax

Practice location:
  • Phone: 419-963-4855
  • Fax:
Mailing address:
  • Phone: 419-889-0704
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberPRS.006469
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: