# MEDICAL COLLEGE OF OHIO PHYSICIANS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MCO Family Practice Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659311405
- **Authorized official:** MARY RASSEL (DATA ENTRY SUPERVISOR)
- **Authorized official phone:** (419) 383-5504

## Contact information

- **Practice address:** 1015 GARDEN LAKE PKWY, TOLEDO, OH 43614-2779
- **Practice address phone:** (419) 383-5500
- **Practice address fax:** (419) 383-5575
- **Mailing address:** 1015 GARDEN LAKE PKWY, TOLEDO, OH 43614-2779
- **Mailing address phone:** (419) 383-5500
- **Mailing address fax:** (419) 383-5575

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/08/2006
- **Last updated:** 08/22/2020