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Individual

DR. TERESA PAMELA BRIDGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
13286 OVITT RD, PERRYSBURG, OH 43551-9610
(419) 823-6800
Mailing address
13286 OVITT RD, PERRYSBURG, OH 43551-9610
(419) 823-6800

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35052277
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000246971
ANTHEM
OH
01
000000259183
ANTHEM
OH
05
0660226
OH
05
4485563
MI
Enumeration date
07/20/2005
Last updated
09/16/2010
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