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Organization
INDEPENDENCE HEALTH , INC.
Active
Organization
INDEPENDENCE HEALTH , INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL E D'ERAMO (CHIEF ADMINISTRATIVE OFFICE)
(419) 479-5832
Entity
Organization
Contact information
Practice address
4235 SECOR RD, TOLEDO, OH 43623-4231
(419) 479-5832
Mailing address
4235 SECOR RD, TOLEDO, OH 43623-4231
(419) 479-5832
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/19/2019
Last updated
04/19/2019
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