Individual
EDWARD SHY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5726 SOUTHWYCK BLVD STE 200, TOLEDO, OH 43614-1510
(419) 865-5690
Mailing address
5055 JAMIESON DR APT K1, TOLEDO, OH 43613-2869
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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