Individual
MARK D HILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4041 W SYLVANIA AVE, STE 100, TOLEDO, OH 43623-4465
(419) 472-1124
(419) 486-8857
Mailing address
2200 JEFFERSON AVE, 4TH FLOOR, TOLEDO, OH 43604-7101
(419) 251-1963
(419) 486-8857
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35049105H
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080166338
RAILROAD MEDICARE
OH
05
—
0826100
—
OH
01
—
35049105
OH MEDICAL LICENSE
OH
Enumeration date
06/22/2005
Last updated
02/20/2014
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