Individual
DR. HUMPHREY ODEI ATIEMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2120 W CENTRAL AVE, TOLEDO, OH 43606-3834
(419) 531-8558
(419) 531-8798
Mailing address
100 MADISON AVE, TOLEDO, OH 43604-1516
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
35.086325
OH
208800000X
Urology Physician
4301089596
MI
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Primary
35.086325
OH
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
4301089596
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2595508
—
OH
Enumeration date
04/10/2006
Last updated
11/01/2023
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