Healthcare Provider Details

I. General information

NPI: 1467627000
Provider Name (Legal Business Name): GAIL E BOCIAN C.N.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2008
Last Update Date: 04/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4895 MONROE ST SUITE 203
TOLEDO OH
43623-4383
US

IV. Provider business mailing address

4895 MONROE ST STE 203
TOLEDO OH
43623-4349
US

V. Phone/Fax

Practice location:
  • Phone: 419-471-9000
  • Fax: 419-471-9000
Mailing address:
  • Phone: 419-471-9000
  • Fax: 419-471-9000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberNM-07134
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberNM-07134
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: