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Organization

UNIVERSITY OF TOLEDO PHYSICIANS, LLC

Active
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Organization

UNIVERSITY OF TOLEDO PHYSICIANS, LLC

Active
Parent organization
UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACULTY INC.
Other names
UTP Student Services
Organization subpart
Yes

Provider details

NPI number
Legal business name
UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACULTY INC.
Authorized official
TRACEY BERRY BS, CPCS (DIRECTOR, MEDICAL STAFF SERVICES)
(419) 383-5330
Entity
Organization

Contact information

Practice address
2801 W BANCROFT ST, STUDENT SERVICES, TOLEDO, OH 43606-3328
(419) 530-3451
(419) 530-3499
Mailing address
4510 DORR ST # MS 840, TOLEDO, OH 43615-4040
(419) 383-5330
(419) 383-2000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35076864
OH
207R00000X
Internal Medicine Physician
35061999
OH

Other

Enumeration date
04/07/2009
Last updated
02/22/2024
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