Individual
DR. LAURENCE MATTHEW BAIBAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12621 ECKEL JUNCTION RD STE 2400, PERRYSBURG, OH 43551-1304
(419) 887-7000
(419) 887-5701
Mailing address
12621 ECKEL JUNCTION RD STE 2400, PERRYSBURG, OH 43551-1304
(419) 887-7000
(419) 887-5701
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
35-059965
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0876922
—
OH
Enumeration date
02/02/2006
Last updated
07/13/2022
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