MACSIS Provider (PROVF) Summary Sheet

UPI (Provider ID): 8203
Change Report (if Any):

Short Name: UNVRSTY TOLEDO

Long Name 1: UNIVERSITY OF TOLEDO
Long Name 2: BINGE DRINKING COALITION PROJ

Address 1: 2801 WEST BANCROFT
Address 2:

City: TOLEDO
Zip Code: 43606
County: LUCA

Contact: NOREEN WASIELEWSKI
Title: DIR
Phone: 4195304465
FAX: 4195307263

Vendor: 8203

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012