Healthcare Provider Details

I. General information

NPI: 1194719682
Provider Name (Legal Business Name): MARIA T ROJESKI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 09/12/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3120 GLENDALE AVE MEDICINE
TOLEDO OH
43614-5811
US

IV. Provider business mailing address

3355 GLENDALE AVE THIRD FLOOR
TOLEDO OH
43614-2426
US

V. Phone/Fax

Practice location:
  • Phone: 419-383-3719
  • Fax: 419-383-0354
Mailing address:
  • Phone: 419-383-7100
  • Fax: 419-383-2000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number35078661
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: