| Other | |
|
2100 W Alexis Rd Toledo OH 43613-5445 | |
| (419) 479-7000 | |
| Not Available |
| Full Name | Other |
|---|---|
| Speciality | Family Medicine |
| Location | 2100 W Alexis Rd, Toledo, Ohio |
| Authorized Official Name and Position | Samatha Platzke (CFO) |
| Authorized Official Contact | 4192512046 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Other 2200 Jefferson Ave 4th Fl Toledo OH 43624-1120 Ph: (419) 251-8997 | Other 2100 W Alexis Rd Toledo OH 43613-5445 Ph: (419) 479-7000 |
| NPI Number | 1093741365 |
|---|---|
| Provider Enumeration Date | 06/25/2006 |
| Last Update Date | 01/13/2022 |
| Certification Date | 01/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093741365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207R00000X | Internal Medicine | () | Secondary |
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