Individual
DR. MARY R. SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3120 GLENDALE AVE, MEDICINE, TOLEDO, OH 43614-5811
(419) 383-3747
(419) 383-6372
Mailing address
3355 GLENDALE AVE, THIRD FLOOR, TOLEDO, OH 43614-2426
(419) 383-7100
(419) 383-2000
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
35041759
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0357993
—
OH
Enumeration date
09/14/2005
Last updated
07/08/2007
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