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1497490254
MICHAEL BLAINE WIDMER
LIMA, OH
NPI
1497490254
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-05-04
Last Update Date
2022-05-04
Business Address
MICHAEL BLAINE WIDMER DO
730 W MARKET ST
LIMA, OH 45801-4602
Phone number: 419-227-3361
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Mailing Address
MICHAEL BLAINE WIDMER DO
2753 NE RED OAK DR
BEND, OR 97701-8348
Phone number: 541-771-5550
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