Individual
DR. JEFFREY ALAN FORQUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5300 HARROUN RD STE 10, SYLVANIA, OH 43560-2182
(419) 824-1952
(419) 824-0344
Mailing address
333 N SUMMIT ST FL 7, TOLEDO, OH 43604-1531
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
35093336
OH
2085R0001X
Radiation Oncology Physician
4301094072
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0N24000022
MEDICARE
MI
05
—
1003073438
—
MI
05
—
2959562
—
OH
01
—
FO4267841
MEDICARE
OH
01
—
P00746492
RR MEDICARE
OH
Enumeration date
05/22/2008
Last updated
11/03/2023
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