Individual provider · Type 1 NPI

Jodi L. Bollenbacher, PA

Medical Physician Assistant · Toledo, OH

NPI number 1609858315 Active

Practice location

2142 N Cove Blvd
Toledo, OH 43606-3895

Fax (419) 291-6430

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X50001972 (OH)

Medical Physician Assistant: Definition to come...

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About NPI 1609858315

Jodi L. Bollenbacher, PA's National Provider Identifier is 1609858315, issued on Nov 17, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Toledo, OH. The record was last updated on Dec 3, 2012.