Organization
SUNFOREST ORTHOPEDICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELAINE WIELAND (OFFICE MANAGER)
(419) 475-1600
Entity
Organization
Contact information
Practice address
4405 N HOLLAND SYLVANIA RD, SUITE 101, TOLEDO, OH 43623-3529
(419) 475-1600
(419) 475-2104
Mailing address
4405 N HOLLAND SYLVANIA RD, SUITE 101, TOLEDO, OH 43623-3529
(419) 475-1600
(419) 475-2104
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0116592
—
OH
Enumeration date
09/27/2006
Last updated
02/05/2008
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