Individual
SUSAN ELAINE BOLDYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
950 W WOOSTER ST, WOOD COUNTY HOSPITAL, BOWLING GREEN, OH 43402-2603
(419) 354-8977
(419) 373-4157
Mailing address
5650 W CENTRAL AVE STE D, TOLEDO, OH 43615-1510
(419) 534-2888
(419) 534-2898
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35045449B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0986278
—
OH
05
—
3403231100
—
MI
Enumeration date
02/02/2006
Last updated
06/24/2015
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