Organization
UNIVERSITY OF TOLEDO PHYSICIANS, LLC
Active
Parent organization
UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACULTY
Other names
UTP Sports Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACULTY
Authorized official
DR. KRIS BRICKMAN MD (UTP PRESIDENT)
(419) 383-7100
Entity
Organization
Contact information
Practice address
3000 ARLINGTON AVE, TOLEDO, OH 43614-2595
(419) 383-3761
(419) 383-6170
Mailing address
3355 GLENDALE AVE, THIRD FLOOR, TOLEDO, OH 43614-2426
(419) 383-7100
(419) 383-2000
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0329226
—
OH
Enumeration date
07/14/2010
Last updated
06/14/2019
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