Organization
WELLCARE HEALTH SYSTEM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN OERTELL LAKIN MD (PRESIDENT & CEO)
(312) 720-9313
Entity
Organization
Contact information
Practice address
241 N SUPERIOR ST STE 102, TOLEDO, OH 43604-1253
(419) 214-3220
(419) 214-3218
Mailing address
26355 SEMINARY RD, PERRYSBURG, OH 43551-6210
(127) 209-3133
(866) 271-1135
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
—
—
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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