Healthcare Provider Details

I. General information

NPI: 1275532285
Provider Name (Legal Business Name): MARY MARGARET BALDWIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2005
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4411 N HOLLAND SYLVANIA RD STE 201
TOLEDO OH
43623-3530
US

IV. Provider business mailing address

4235 SECOR RD
TOLEDO OH
43623-4299
US

V. Phone/Fax

Practice location:
  • Phone: 419-843-3627
  • Fax: 419-841-2349
Mailing address:
  • Phone: 419-473-3561
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35-061688
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: