Individual
DR. RICK A VIDOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4235 SECOR ROAD, TOLEDO, OH 43623
(419) 479-5650
Mailing address
4235 SECOR ROAD, TOLEDO, OH 43623
(419) 479-5650
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35059050
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0906121
—
OH
Enumeration date
06/13/2006
Last updated
05/31/2011
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