Organization
TOLEDO CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER D PENIX (CREDENTIALING SPECIALIST)
(419) 214-4214
Entity
Organization
Contact information
Practice address
7301 SECOR RD, LAMBERTVILLE, MI 48144-9737
(419) 479-5795
(419) 479-5797
Mailing address
4235 SECOR RD, TOLEDO, OH 43623
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0080302
—
OH
Enumeration date
04/26/2006
Last updated
03/26/2025
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