Organization
MEDICAL COLLEGE OF OHIO PHYSICIANS, LLC
Active
Other names
MCO Family Practice Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARY RASSEL (DATA ENTRY SUPERVISOR)
(419) 383-5504
Entity
Organization
Contact information
Practice address
1015 GARDEN LAKE PKWY, TOLEDO, OH 43614-2779
(419) 383-5500
(419) 383-5575
Mailing address
1015 GARDEN LAKE PKWY, TOLEDO, OH 43614-2779
(419) 383-5500
(419) 383-5575
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2554847
—
OH
Enumeration date
06/08/2006
Last updated
08/22/2020
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