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NPI Code Detail

MEDICARE: DR. PAUL D BERLACHER MD

MEDICARE: DR. PAUL D BERLACHER MD
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
1207RC0000XCardiovascular Disease Physician35046095BOH
2207RC0000XCardiovascular Disease Physician4301084745MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00975134OTHERMIRRMC
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3P00711881OTHERRRMC

General Provider Information

NPI Number : 1518960376
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL D BERLACHER MD
Provider Business Mailing Address
First Line : 2940 N MCCORD RD
Second Line :
City : TOLEDO
State : OH
Zip : 43615-1753
Country : US
Telephone Number : 419-842-3094
Fax Number : 419-842-3048
Provider Business Practice Location Address
First Line : 2940 N MCCORD RD
Second Line :
City : TOLEDO
State : OH
Zip : 43615-1753
Country : US
Telephone Number : 419-842-3094
Fax Number : 419-842-3048
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 12/02/2011

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