Individual
MS. IRMA DELIA SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
635 N ERIE ST, TOLEDO, OH 43604-5317
(419) 213-4186
Mailing address
PO BOX 58, MAUMEE, OH 43537-0058
(939) 244-6171
(787) 843-8559
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
16448
PR
207Q00000X
Family Medicine Physician
Primary
35056699
OH
2083X0100X
Occupational Medicine Physician
16448
PR
2083X0100X
Occupational Medicine Physician
35056699
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0747688
—
PR
01
—
DM165001
ASSMCA ESTADA LIBRE ASOCI
—
Enumeration date
11/17/2006
Last updated
03/07/2023
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