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Organization

A4 OF OHIO, LLC

Active
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Organization

A4 OF OHIO, LLC

Active
Parent organization
A4 MANAGEMENT COMPANY, LLC
Other names
A4 Management Company, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
A4 MANAGEMENT COMPANY, LLC
Authorized official
TRACI COFFMAN MD (OWNER)
(734) 263-2400
Entity
Organization

Contact information

Practice address
4235 SECOR RD, TOLEDO, OH 43623-4299
(419) 473-3561
(419) 214-1979
Mailing address
2006 HOGBACK RD STE 5A, ANN ARBOR, MI 48105-9750
(734) 263-2400
(734) 773-3471

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
367500000X
Certified Registered Nurse Anesthetist
367H00000X
Anesthesiologist Assistant

Other

Enumeration date
05/02/2019
Last updated
05/15/2023
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