Individual
HANNAH BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2121 HUGHES DR # 620, TOLEDO, OH 43606-3857
(419) 291-2126
Mailing address
3355 GLENDALE AVE FL 3, TOLEDO, OH 43614-2426
(419) 383-3588
(419) 383-3238
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.006090RX
OH
363AS0400X
Surgical Physician Assistant
Primary
50.006090RX
OH
363AS0400X
Surgical Physician Assistant
6754
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2017
Last updated
02/04/2025
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