Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 35-089149 | OH |
NPI | 1003823873 |
---|---|
Provider Name | Dr. Linda M Speer |
First Address | Toledo, OH 43614-2426 |
Second Address | Toledo, OH 43614-2426 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2006 |
Last Update Date | 28/12/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2712363 | (05) | OH |
F66038 | (02) | OH |