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Individual

DR. JOHN GREGORY ROSENTHAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5757 MONCLOVA RD STE 11, MAUMEE, OH 43537-1863
(419) 873-6800
(419) 873-6804
Mailing address
5757 MONCLOVA RD STE 11, MAUMEE, OH 43537-1863
(419) 873-6800
(419) 873-6804

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
35058361R
OH
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
35-058361
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000121699
ANTHEM
OH
01
00642
PARAMOUNT
OH
01
024591
ONE HEALTH PLAN
OH
05
0749300
OH
01
0800785
UNITED HEALTHCARE
OH
01
1183130001
ADMINASTAR
OH
01
311550308019
CIGNA
OH
05
4110735
MI
01
4121872
AETNA
OH
01
602258
FAMILY HEALTH PLAN
OH
01
OC06130
NATIONWIDE HEALTH PLANS
OH
01
P62103
BLUE CARE
OH
Enumeration date
02/06/2006
Last updated
03/25/2020
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