Individual
BENJAMIN MATTHEW HAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 JEFFERSON AVE, TOLEDO, OH 43604-7101
(419) 251-1400
Mailing address
2200 JEFFERSON AVE, TOLEDO, OH 43604-7101
(419) 251-1400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
DR.0066591
CO
207Q00000X
Family Medicine Physician
Primary
DR.0066591
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2018
Last updated
06/02/2021
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