Healthcare Provider Details

I. General information

NPI: 1740418995
Provider Name (Legal Business Name): STEVEN A WIDMER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2009
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3373 COMMERCE PKWY SUITE 2
WOOSTER OH
44691-7130
US

IV. Provider business mailing address

3373 COMMERCE PKWY SUITE 2
WOOSTER OH
44691-7130
US

V. Phone/Fax

Practice location:
  • Phone: 330-804-9712
  • Fax: 330-804-9717
Mailing address:
  • Phone: 330-804-9712
  • Fax: 330-804-9717

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number099273
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: