Organization
EDNA MARIE JEAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDNA MARIE JEAN DPM (PODIATRIST)
(419) 537-9877
Entity
Organization
Contact information
Practice address
1857 N REYNOLDS RD, TOLEDO, OH 43615-3537
(419) 537-9877
Mailing address
1857 N REYNOLDS RD, TOLEDO, OH 43615-3537
(419) 537-9877
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
36.002601
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0765908
—
OH
Enumeration date
12/22/2008
Last updated
01/30/2013
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