Provider First Line Business Practice Location Address:
3404 SYLVANIA AVENUE
Provider Second Line Business Practice Location Address:
ST. ANNE MERCY HOSPITAL E.D.
Provider Business Practice Location Address City Name:
TOLEDO
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43623
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-407-1444
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/27/2005