Individual
PATRICK J ANDERSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2142 N COVE BLVD, 5 NORTH PEDIATRICS, TOLEDO, OH 43606-3895
(419) 291-4637
(419) 479-6012
Mailing address
2142 N COVE BLVD, 5 NORTH PEDIATRICS, TOLEDO, OH 43606-3895
(419) 291-4637
(419) 479-6012
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50-001590
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00373668
RRMC
OH
Enumeration date
09/22/2005
Last updated
11/03/2023
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