| Healthsource Of South Toledo | |
|
4400 Heatherdowns Blvd Toledo OH 43614-3147 | |
| (419) 720-1472 | |
| (419) 720-1475 |
| Full Name | Healthsource Of South Toledo |
|---|---|
| Speciality | Clinic/center |
| Location | 4400 Heatherdowns Blvd, Toledo, Ohio |
| Authorized Official Name and Position | Robert E. Riley (ASSOCIATE) |
| Authorized Official Contact | 4197201472 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthsource Of South Toledo 4400 Heatherdowns Blvd Toledo OH 43614-3147 Ph: (419) 720-1472 | Healthsource Of South Toledo 4400 Heatherdowns Blvd Toledo OH 43614-3147 Ph: (419) 720-1472 |
| NPI Number | 1952586075 |
|---|---|
| Provider Enumeration Date | 01/08/2008 |
| Last Update Date | 12/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952586075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2743 (Ohio) | Primary |
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