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Individual

EILYNN K SIPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5700 MONROE ST UNIT 210, SYLVANIA, OH 43560
(419) 291-2800
(419) 471-5826
Mailing address
1 SEAGATE STE 800, TOLEDO, OH 43604-1558
(419) 291-2800
(419) 471-5826

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
35076379S
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
104502637
MICHIGAN MEDICAID
MI
05
2399748
OH
Enumeration date
05/24/2005
Last updated
11/03/2023
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