Individual
JASON TANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2121 HUGHES DR, SUITE 310, TOLEDO, OH 43606-3845
(419) 291-3858
(419) 480-8701
Mailing address
2121 HUGHES DR, SUITE 310, TOLEDO, OH 43606-3845
(419) 291-3858
(419) 480-8701
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35.096495
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102948
—
OH
Enumeration date
07/03/2008
Last updated
11/03/2023
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