Individual
THOMAS GUIDO ANDRESHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7640 SYLVANIA AVE, STE. B, SYLVANIA, OH 43560-9729
(419) 517-7500
(419) 517-7501
Mailing address
7630 KINGS POINTE RD, TOLEDO, OH 43617-1500
(419) 517-7500
(419) 517-7501
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35062765A
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0920070
—
OH
05
—
104409641
—
MI
Enumeration date
08/17/2006
Last updated
09/11/2018
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