Individual
CHRISTOPHER RANCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C, ATC
Contact information
Practice address
1200 MEDICAL CENTER PKWY, MAUMEE, OH 43537-1921
(419) 794-2593
(419) 794-2595
Mailing address
4235 SECOR RD, TOLEDO, OH 43623-4299
(419) 473-3561
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT. 004255
OH
363A00000X
Physician Assistant
Primary
50.010125RX
OH
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0172506
—
OH
Enumeration date
07/01/2015
Last updated
03/13/2026
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