MEDICARE: TIFFANY SLUTZ

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	207V00000X	Obstetrics & Gynecology Physician	35.144195	OH

General Provider Information

NPI Number	:	1881181709
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANY SLUTZ

Provider Business Mailing Address
First Line	:	333 N SUMMIT ST FL 7
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43604-1531
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	660 BEAVER CREEK CIR STE 200
Second Line	:
City	:	MAUMEE
State	:	OH
Zip	:	43537-1746
Country	:	US
Telephone Number	:	419-891-6201
Fax Number	:	419-893-1227

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

Provider Enumeration Date	:	04/16/2018
Last Update Date	:	11/03/2023

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Directions to “ TIFFANY SLUTZ ” Practice Location

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