Organization
MOUNIR BOUTROS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOUNIR BOUTROS MD (OWNER)
(419) 824-2288
Entity
Organization
Contact information
Practice address
5951 RENAISSANCE PL, TOLEDO, OH 43623-4722
(419) 824-2288
(419) 824-2287
Mailing address
5951 RENAISSANCE PL, TOLEDO, OH 43623-4722
(419) 824-2288
(419) 824-2287
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35062133B
OH
Other
Enumeration date
07/06/2006
Last updated
08/22/2020
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