Organization
TOLEDO SPINE & SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WALTON BLACK (OWNER)
(419) 270-2774
Entity
Organization
Contact information
Practice address
6444 MONROE ST, STE 4, SYLVANIA, OH 43560-1454
(419) 885-2793
(419) 885-3519
Mailing address
432 BUTTONWOOD AVE, BOWLING GREEN, OH 43402-3715
(419) 270-2774
(419) 808-8344
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/15/2009
Last updated
05/15/2009
Update your record
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