Individual
DR. ELLEN LEE BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
6005 MONCLOVA RD, SUITE 320, MAUMEE, OH 43537-1864
(419) 578-7555
(419) 539-6336
Mailing address
6005 MONCLOVA RD, SUITE 320, MAUMEE, OH 43537-1864
(419) 578-7555
(419) 539-6336
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
34009606
OH
207YS0123X
Facial Plastic Surgery Physician
5101016209
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2929988
—
OH
Enumeration date
04/18/2007
Last updated
11/03/2023
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