Provider First Line Business Practice Location Address:
2213 CHERRY STREET 1ST FLOOR ACC
Provider Second Line Business Practice Location Address:
MERCY HEALTH ST VINCENT MEDICAL CENTER
Provider Business Practice Location Address City Name:
TOLEDO
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43608
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-251-4744
Provider Business Practice Location Address Fax Number:
419-251-6795
Provider Enumeration Date:
04/30/2020