Hacker, Hopple, Grossman, Wenzke Medical Group, Inc. | |
4640 W Alexis Rd Toledo OH 43623-1182 | |
(419) 843-8186 | |
(419) 479-2579 |
Full Name | Hacker, Hopple, Grossman, Wenzke Medical Group, Inc. |
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Speciality | Internal Medicine |
Location | 4640 W Alexis Rd, Toledo, Ohio |
Authorized Official Name and Position | Robert E Wenzke (TREASURER) |
Authorized Official Contact | 4198438186 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hacker, Hopple, Grossman, Wenzke Medical Group, Inc. 4640 W Alexis Rd Toledo OH 43623-1182 Ph: (419) 843-8186 | Hacker, Hopple, Grossman, Wenzke Medical Group, Inc. 4640 W Alexis Rd Toledo OH 43623-1182 Ph: (419) 843-8186 |
NPI Number | 1407106925 |
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Provider Enumeration Date | 09/12/2012 |
Last Update Date | 09/12/2012 |
Medicare PECOS PAC ID | 0547410888 |
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Medicare Enrollment ID | O20121023000759 |
Identifier | Type | State | Issuer |
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1407106925 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | David L Grossman |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972501971 PECOS PAC ID: 8224019856 Enrollment ID: I20080717000426 |
Provider Name | Timothy B Hacker |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013915289 PECOS PAC ID: 7315015427 Enrollment ID: I20081002000348 |
Provider Name | Craig T Hopple |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1336147503 PECOS PAC ID: 9638212319 Enrollment ID: I20100203000274 |
Provider Name | Robert E Wenzke |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912905951 PECOS PAC ID: 0345377255 Enrollment ID: I20100426000350 |
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