Individual
CLAYTON BUBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2130 W CENTRAL AVE, TOLEDO, OH 43606-3818
(419) 291-3900
Mailing address
3000 ARLINGTON AVE # MS 1108, TOLEDO, OH 43614-2598
(419) 383-7100
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35.150170
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0045901
—
OH
Enumeration date
04/10/2019
Last updated
01/05/2026
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