Organization
ST. LUKES HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD WACHSMAN (SR VP MANAGED CARE REIMBURSEMENT)
(419) 824-7577
Entity
Organization
Contact information
Practice address
5901 MONCLOVA RD, MAUMEE, OH 43537-1841
(419) 893-5911
Mailing address
PO BOX 637296, CINCINNATI, OH 45263-7296
(419) 893-5911
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
220964
OH
Other
Enumeration date
02/27/2013
Last updated
02/27/2013
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