Provider First Line Business Practice Location Address:
3000 ARLINGTON AVENUE
Provider Second Line Business Practice Location Address:
RUPPERT HEALTH CENTER, ROOM 0012
Provider Business Practice Location Address City Name:
TOLEDO
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43614-2595
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-383-3685
Provider Business Practice Location Address Fax Number:
419-383-6244
Provider Enumeration Date:
03/20/2020