Organization
NORTHWEST OHIO GASTROENTEROLOGY ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ZACK (D.O.)
(419) 471-1350
Entity
Organization
Contact information
Practice address
4841 MONROE ST, SUITE 110, TOLEDO, OH 43623-4385
(419) 471-1317
(419) 471-1316
Mailing address
4841 MONROE ST, SUITE 110, TOLEDO, OH 43623-4385
(419) 471-1317
(419) 471-1316
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0125313
—
OH
01
—
CA4246
RAILROAD MEDICARE
OH
Enumeration date
09/21/2006
Last updated
07/21/2022
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