Registry details
Type
Individual
Primary specialty
Dermatology
Enumerated
Jun 16, 2006
License(s)
35081000A (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 4126 N HOLLAND SYLVANIA RD SUITE 200 | Toledo, OH 43623-2504 | 419-473-3257 |
| LOCATION | 4126 N HOLLAND SYLVANIA RD SUITE 200 | Toledo, OH 43623-2504 | 419-473-3257 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.