Individual
STEVEN WING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(419) 291-4101
Mailing address
6896 W SNOWVILLE RD, BRECKSVILLE, OH 44141-3214
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35-08-4172
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000337309
ANTHEM
OH
01
—
000000372960
ANTHEM
OH
05
—
2481005
—
OH
01
—
341960760042
CARESOURCE
OH
05
—
4616880
—
MI
01
—
728630
BCHP
OH
05
—
810547599040
—
OH
Enumeration date
04/10/2006
Last updated
01/08/2008
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