Individual
DR. JOHN P LONGABAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2940 N MCCORD RD, TOLEDO, OH 43615-1753
(419) 842-3000
(419) 842-3042
Mailing address
2940 N MCCORD RD, TOLEDO, OH 43615-1753
(419) 842-3000
(419) 842-3042
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35082841L
OH
207RC0000X
Cardiovascular Disease Physician
4301060289
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2478233
—
OH
01
—
P00711890
RRMC
—
01
—
P00812603
RRMC
MI
Enumeration date
06/02/2005
Last updated
11/03/2023
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