Provider Demographics
NPI:1881843175
Name:A WOMAN'S PLACE INC.
Entity Type:Organization
Organization Name:A WOMAN'S PLACE INC.
Other - Org Name:SUSAN POHLOD-MILLER M.D.
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:POHLOD-MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-841-7190
Mailing Address - Street 1:3000 REGENCY CT
Mailing Address - Street 2:STE. 201
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-3092
Mailing Address - Country:US
Mailing Address - Phone:419-841-7190
Mailing Address - Fax:419-841-9631
Practice Address - Street 1:3000 REGENCY CT
Practice Address - Street 2:STE. 201
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-3092
Practice Address - Country:US
Practice Address - Phone:419-841-7190
Practice Address - Fax:419-841-9631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-11
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35079037P207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHA9350431Medicare PIN