Unknown Individual – Specialist, NPI 1104828417
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
5923 RENAISSANCE PLACE
TOLEDO, OH 43623
Phone: (419) 824-5067
Fax: (419) 824-5457
Type: Location
Winslow Road, Whitehouse, Lucas County, Ohio, 43571, United States
WHITEHOUSE, OH 43571
Phone: (419) 877-9171
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 43623)
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