Individual
JOANNA FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 JEFFERSON AVE, TOLEDO, OH 43604-7101
(419) 251-1400
(419) 251-1797
Mailing address
2200 JEFFERSON AVE, TOLEDO, OH 43604-7101
(419) 251-1400
(419) 251-1797
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
2021012642
MO
Other
Enumeration date
04/05/2016
Last updated
03/01/2023
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