Healthcare Provider Details

I. General information

NPI: 1649277534
Provider Name (Legal Business Name): BRIAN F HOEFLINGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5757 MONCLOVA RD STE 15
MAUMEE OH
43537-1863
US

IV. Provider business mailing address

PO BOX 72030
CLEVELAND OH
44192-0002
US

V. Phone/Fax

Practice location:
  • Phone: 419-479-5590
  • Fax: 419-473-8893
Mailing address:
  • Phone: 419-479-5893
  • Fax: 419-479-5593

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number35076394H
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: