Organization
RANDY L. CLIMO, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY LEE CLIMO M.D. (PRESIDENT)
(419) 345-0626
Entity
Organization
Contact information
Practice address
1725 TIMBER LINE RD, MAUMEE, OH 43537-4015
(419) 345-0626
(419) 872-0855
Mailing address
PO BOX 424, PERRYSBURG, OH 43552-0424
(419) 872-5848
(419) 872-0855
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
35057925C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000028370
ANTHEM
OH
05
—
2748978
—
OH
01
—
DF0382
RAILROAD MEDICARE
OH
Enumeration date
05/21/2006
Last updated
09/10/2019
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