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Individual

GENE K RICHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2142 N. COVE BLVD, PATHOLOGY LAB, TOLEDO, OH 43606
(419) 534-3500
(419) 534-2608
Mailing address
2130 W CENTRAL AVE, STE 300, TOLEDO, OH 43606-3819
(419) 534-3500
(419) 534-2608

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35.092325
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
4301093525
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0894804
OH
Enumeration date
07/07/2006
Last updated
12/21/2021
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