Dr. Andrew J. Croak
Urologist Gynecologist
625 Gibbs St
Maumee
, Ohio 43537-2801
Dr. Andrew J. Croak
Urologist Gynecologist
625 Gibbs St
Maumee
, Ohio 43537-2801
(419) 893-6942
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About
Features
Specialties
- Gynecologist
- Urologist
Languages spoken
- English
Location
First Address
- Dr. Andrew J. Croak
- 625 Gibbs St
- Maumee, OH
- Zip : 43537-2801
- Fax : (419) 893-6942
- Phone : (419) 893-7134
Second Address
- Dr. Andrew J. Croak
- 625 Gibbs St
- Maumee, OH
- Zip : 43537-2801
- Fax : (419) 893-6942
- Phone : (419) 893-7134
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | 34006843 | OH |
| N | 208800000X | Urologist | 34006843 | OH |
National Provider Identifier
| NPI | 1073581724 |
|---|---|
| Provider Name | Dr. Andrew J. Croak |
| First Address | Maumee, OH 43537-2801 |
| Second Address | Maumee, OH 43537-2801 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/03/2006 |
| Last Update Date | 08/05/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2117793 | (05) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.