MEDICARE: JENNIFER-KRIS BALDONADO HAO M.D.

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
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	35.126018	OH

General Provider Information

NPI Number	:	1053635821
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER-KRIS BALDONADO HAO M.D.

Provider Business Mailing Address
First Line	:	5741 LITTLE FARMS CT
Second Line	:
City	:	SYLVANIA
State	:	OH
Zip	:	43560-3700
Country	:	US
Telephone Number	:	206-327-5289
Fax Number	:

Provider Business Practice Location Address
First Line	:	3000 ARLINGTON AVE
Second Line	:	MAIL STOP 1186
City	:	TOLEDO
State	:	OH
Zip	:	43614-2595
Country	:	US
Telephone Number	:	419-383-3707
Fax Number	:	419-383-6285

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2010
Last Update Date	:	04/06/2016

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