Individual
DOUGLAS I CIFUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1103 VILLAGE SQUARE DR, STE 100, PERRYSBURG, OH 43551-1762
(419) 872-3213
(419) 872-9549
Mailing address
2200 JEFFERSON AVE, 4TH FLOOR, TOLEDO, OH 43604-7101
(419) 251-1963
(419) 872-9549
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34-00-7147-C
OH
208M00000X
Hospitalist Physician
02005184A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2131722
—
OH
Enumeration date
05/24/2005
Last updated
10/30/2017
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