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NPI Code Detail

MEDICARE: WILFREDO D PACIO, MD INC.

MEDICARE: WILFREDO D PACIO, MD INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician35040505GOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023097466
Entity Type Code : Organization
Provider Name (Legal Business Name) : WILFREDO D PACIO, MD INC.
Provider Business Mailing Address
First Line : 5620 SOUTHWYCK BLVD
Second Line :
City : TOLEDO
State : OH
Zip : 43614-1501
Country : US
Telephone Number : 800-288-8325
Fax Number :
Provider Business Practice Location Address
First Line : 950 W WOOSTER ST
Second Line :
City : BOWLING GREEN
State : OH
Zip : 43402-2603
Country : US
Telephone Number : 419-353-5582
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. WILFREDO D PACIO
Credential : MD
Telephone Number : 419-354-8900
Provider Enumeration Date : 01/13/2006
Last Update Date : 02/08/2008

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