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Organization

ST. LUKE HOSPITAL

Active
Other names
Occupational Health Services
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL L. KOLTZ MD (PRESIDENT)
(419) 893-5968
Entity
Organization

Contact information

Practice address
5901 MONCLOVA RD, MAUMEE, OH 43537-1855
(419) 893-5968
Mailing address
5901 MONCLOVA RD, MAUMEE, OH 43537-1855
(419) 893-5968

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
OH

Other

Enumeration date
05/01/2006
Last updated
04/20/2008
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