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3000 Regency Ct Ste. 100 Toledo OH 43623-3092 | |
| (419) 882-2020 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center |
| Location | 3000 Regency Ct, Toledo, Ohio |
| Authorized Official Name and Position | Brian L Andrew (SECRETARY) |
| Authorized Official Contact | 6365342300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
16305 Swingley Ridge Rd Ste. 300 Chesterfield MO 63017-1777 Ph: (636) 534-2300 | 3000 Regency Ct Ste. 100 Toledo OH 43623-3092 Ph: (419) 882-2020 |
| NPI Number | 1619182870 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619182870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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