Healthcare Provider Details

I. General information

NPI: 1902800642
Provider Name (Legal Business Name): NEAL A TOLCHIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2005
Last Update Date: 04/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 REGENCY CT STE 100
TOLEDO OH
43623-3081
US

IV. Provider business mailing address

2723 S STATE ST SUITE 220
ANN ARBOR MI
48104-6188
US

V. Phone/Fax

Practice location:
  • Phone: 419-882-2020
  • Fax: 419-885-8440
Mailing address:
  • Phone: 877-852-8463
  • Fax: 734-994-6283

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number61778
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: