Healthcare Provider Details

I. General information

NPI: 1275685240
Provider Name (Legal Business Name): TOLEDO CLINIC INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 MEDICAL CENTER PKWY
MAUMEE OH
43537-1921
US

IV. Provider business mailing address

4235 SECOR RD
TOLEDO OH
43623-4231
US

V. Phone/Fax

Practice location:
  • Phone: 419-794-7720
  • Fax:
Mailing address:
  • Phone: 419-214-4214
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: TOM SYLAK
Title or Position: CHIEF ADMINISTRATIVE OFFICER
Credential:
Phone: 419-473-3561