Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | ME124646 | FL |
Y | 2080P0203X | Pediatric Critical Care Doctor | 35136206 | OH |
N | 2080P0203X | Pediatric Critical Care Doctor | ME124646 | FL |
NPI | 1215297049 |
---|---|
Provider Name | Anamaria Chacin Koehl |
First Address | Toledo, OH 43604-7102 |
Second Address | Toledo, OH 43608-2603 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2012 |
Last Update Date | 17/06/2019 |