Individual
RANDY LEE CLIMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1655 HOLLAND RD, SUITE D, MAUMEE, OH 43537-1656
(419) 482-0592
(419) 482-5529
Mailing address
PO BOX 1207, MAUMEE, OH 43537-8207
(419) 482-0592
(419) 482-5529
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
35057925C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004127117
AETNA
OH
01
—
01162
PARAMOUNT HEALTHCARE
OH
05
—
0771151
—
OH
01
—
22000000028370
ANTHEM
OH
01
—
34163460300
BWC
OH
Enumeration date
05/21/2006
Last updated
07/08/2007
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