Provider Demographics
NPI:1629801576
Name:TOLEDO MEN'S HEALTH AND WEIGHT LOSS CLINIC
Entity type:Organization
Organization Name:TOLEDO MEN'S HEALTH AND WEIGHT LOSS CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ABIGAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:GASU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:567-429-9381
Mailing Address - Street 1:2619 FOXBURY LN
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-7153
Mailing Address - Country:US
Mailing Address - Phone:740-818-5248
Mailing Address - Fax:
Practice Address - Street 1:5660 MONROE ST
Practice Address - Street 2:
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-2733
Practice Address - Country:US
Practice Address - Phone:567-429-9381
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-24
Last Update Date:2024-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center