Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 35-07-2614-P | OH |
N | 111NI0900X | Internist | 35-07-2614-P | OH |
Y | 207RH0002X | Hospice and Palliative Medicine | 35.072614 | OH |
NPI | 1366441511 |
---|---|
Provider Name | Dr. Marsha S Paul |
First Address | Perrysburg, OH 43551-3429 |
Second Address | Toledo, OH 43609-1910 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2005 |
Last Update Date | 25/04/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2093701 | (05) | OH |
G81089 | (02) | OH |