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Organization

SYLVAN OAK FAMILY PHYSICIANS LLC

Active
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Organization

SYLVAN OAK FAMILY PHYSICIANS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK A WENTZ MD (MANAGING PARTNER)
(419) 841-1510
Entity
Organization

Contact information

Practice address
6800 W CENTRAL AVE, UNIT K, TOLEDO, OH 43617-1135
(417) 841-1510
(419) 841-1513
Mailing address
6800 W CENTRAL AVE, UNIT K, TOLEDO, OH 43617-1135
(417) 841-1510
(419) 841-1513

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000343375
ANTHEM
OH
05
—
2595302
—
OH
01
—
DC0339
RAILROAD MEDICARE
OH
Enumeration date
01/25/2007
Last updated
02/06/2009
About Stedi
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