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Individual

ALEXANDER DAVID GHANNAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2109 HUGHES DR # 720, TOLEDO, OH 43606-3858
(419) 291-2077
(419) 291-2122
Mailing address
100 MADISON AVE, TOLEDO, OH 43604-1516

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
TRN26700
FL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
35.149681
OH

Other

Enumeration date
03/27/2018
Last updated
09/30/2024
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