MEDICARE: DR. MARIA T ROJESKI 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	35078661	OH

General Provider Information

NPI Number	:	1194719682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIA T ROJESKI M.D.

Provider Business Mailing Address
First Line	:	3355 GLENDALE AVE
Second Line	:	THIRD FLOOR
City	:	TOLEDO
State	:	OH
Zip	:	43614-2426
Country	:	US
Telephone Number	:	419-383-7100
Fax Number	:	419-383-2000

Provider Business Practice Location Address
First Line	:	3120 GLENDALE AVE
Second Line	:	MEDICINE
City	:	TOLEDO
State	:	OH
Zip	:	43614-5811
Country	:	US
Telephone Number	:	419-383-3719
Fax Number	:	419-383-0354

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

Provider Enumeration Date	:	09/12/2005
Last Update Date	:	07/08/2007

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