Individual
MARA PERCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3020 N MCCORD RD, TOLEDO, OH 43615-1702
(419) 517-7658
Mailing address
4126 N HOLLAND SYLVANIA RD STE 220, TOLEDO, OH 43623-3537
(419) 517-7644
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34014564
OH
208000000X
Pediatrics Physician
5101023609
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0409970
—
OH
Enumeration date
06/30/2017
Last updated
10/16/2024
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