Basic Information
| Provider Information | |||||||||
| NPI: | 1700849858 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | MEDICAL UNIVERSITY OF OHIO AT TOLEDO | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | UNIVERSITY OF TOLEDO MEDICAL CENTER | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3000 ARLINGTON AVE | ||||||||
| Address2: | MAILSTOP 1166 | ||||||||
| City: | TOLEDO | ||||||||
| State: | OH | ||||||||
| PostalCode: | 436142595 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4193835315 | ||||||||
| FaxNumber: | 4193833014 | ||||||||
| Practice Location | |||||||||
| Address1: | 3000 ARLINGTON AVE | ||||||||
| Address2: | |||||||||
| City: | TOLEDO | ||||||||
| State: | OH | ||||||||
| PostalCode: | 436142589 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4193834000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/10/2006 | ||||||||
| LastUpdateDate: | 07/30/2014 | ||||||||
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| AuthorizedOfficialLastName: | MORLOCK | ||||||||
| AuthorizedOfficialFirstName: | DAVID | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | CEO OF UNIVERSITY OF TOLEDO MEDICAL | ||||||||
| AuthorizedOfficialTelephone: | 4195305514 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 273Y00000X | OH | Y | Hospital Units | Rehabilitation Unit |
No ID Information.