Individual
DR. ERNEST G BODE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2150 W CENTRAL AVE, TOLEDO, OH 43606-3846
(419) 291-2200
(419) 479-3298
Mailing address
2150 W CENTRAL AVE, TOLEDO, OH 43606-3834
(419) 291-4290
(419) 479-3263
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35059876
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000190757
ANTHEM BC/BS
OH
01
—
00716
NATIONWIDE
OH
01
—
01040
PARAMOUNT PROVIDER NUMBER
OH
05
—
0802082
—
OH
01
—
12801
HPM
MI
01
—
142191
CARE CHOICES
MI
01
—
1613014002
CIGNA
OH
01
—
344428256
EMERALD
OH
01
—
344428256062
CARESOURCES
OH
01
—
4121861
AETNA
OH
05
—
4215933
—
MI
Enumeration date
06/24/2005
Last updated
03/27/2014
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