Individual
CHAD THEBEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARRT (R.T.) (MR)
Contact information
Practice address
2142 N COVE BLVD, TOLEDO, OH 43606-3895
(419) 450-5716
Mailing address
6556 W BANCROFT ST, TOLEDO, OH 43615-3162
(419) 450-5716
Taxonomy
Speciality
Code
Description
License number
State
207RM1200X
Magnetic Resonance Imaging (MRI) Internal Medicine Physician
Primary
565856
OH
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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