Healthcare Provider Details
I. General information
NPI: 1669059572
Provider Name (Legal Business Name): RACQUEL ANN SPEGELE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/26/2021
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2142 N COVE BLVD
TOLEDO OH
43606-3895
US
IV. Provider business mailing address
2142 N COVE BLVD
TOLEDO OH
43606-3895
US
V. Phone/Fax
- Phone: 419-291-4491
- Fax: 419-479-6030
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | 35.156464 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | 2025-02210 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: