Healthcare Provider Details
I. General information
NPI: 1396572350
Provider Name (Legal Business Name): PAIGE ELIZABETH DREES AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/16/2024
Last Update Date: 01/22/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3130 CENTRAL PARK W STE B
TOLEDO OH
43617-1088
US
IV. Provider business mailing address
4694 BUSHEY RD
CYGNET OH
43413-9615
US
V. Phone/Fax
- Phone: 248-865-4166
- Fax:
- Phone: 419-806-6313
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: