Organization
TOLEDO CLINIC PLLC
Active
Other names
TOLEDO CLINIC PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER PENIX (CREDENTIALING SPECIALIST)
(419) 214-4214
Entity
Organization
Contact information
Practice address
1090 N SHOOP AVE, WAUSEON, OH 43567-1821
(419) 330-5200
Mailing address
4235 SECOR RD, TOLEDO, OH 43623-4231
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0080302
—
OH
Enumeration date
05/11/2018
Last updated
04/23/2025
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