Individual
PIERRE A VAUTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2121 HUGHES DR, HMT SUITE 640, TOLEDO, OH 43606-3845
(419) 291-2207
(419) 479-6998
Mailing address
2121 HUGHES DR, HMT SUITE 640, TOLEDO, OH 43606-3845
(419) 291-2207
(419) 479-6998
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
35034706
OH
2080P0214X
Pediatric Pulmonology Physician
Primary
35037406V
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000219652
UNISON
—
01
—
000000520831
ANTHEM
OH
01
—
00280
PARAMOUNT
OH
05
—
0311844
—
OH
01
—
108738
GLHP
—
01
—
4207285
AETNA
OH
05
—
5202279
—
MI
01
—
6146
HEALTH PLAN OF MI
—
Enumeration date
11/21/2005
Last updated
09/08/2008
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