Individual
MARTIN M DEBEUKELAER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2222 CHERRY ST, SUITE 2300, TOLEDO, OH 43608-2673
(419) 251-8030
(419) 251-7764
Mailing address
2200 JEFFERSON AVE, 4TH FLOOR, TOLEDO, OH 43624-1120
(419) 251-2673
(419) 251-0916
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
35045412
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0435087
—
OH
Enumeration date
07/25/2006
Last updated
07/08/2007
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