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NPI Code Detail

MEDICARE: NINA N HASSELBACH M.D.

MEDICARE: NINA N HASSELBACH 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
1207L00000XAnesthesiology Physician35067465OH

General Provider Information

NPI Number : 1982609871
Entity Type Code : Individual
Provider Name (Legal Business Name) : NINA N HASSELBACH M.D.
Provider Business Mailing Address
First Line : 4906 COUNTRY WALK LN
Second Line :
City : SYLVANIA
State : OH
Zip : 43560-2959
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4235 SECOR RD
Second Line :
City : TOLEDO
State : OH
Zip : 43623-4231
Country : US
Telephone Number : 419-479-5650
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 08/16/2017

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