Edna Marie Jean

NPI #1043208788 in Toledo, Ohio

Provider Information

NPI Number: 1043208788
Entity Type: Individual
Name: Edna Marie Jean
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Enumeration Date: Oct 6, 2005
Last Updated: Jan 30, 2013

Practice Location

Address: 1857 N REYNOLDS RD
City: Toledo
State: Ohio
ZIP Code: 43615-3537
Phone: (419) 537-9877

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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