Individual ProviderAndrew David BlankStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address3000 Arlington Ave, Toledo, OH 43614-2595(419) 383-4000PECOS EnrollmentBased on the most recent information from CMS, provider Andrew David Blank does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:36 AM.Profile DetailsProvider ID1073164893Provider TypeIndividualFull NameBlank, Andrew DavidGenderMaleSole ProprietorNoEnumeration Date9/23/2019Last Updated9/23/2019Contact InformationPractice LocationPractice Address3000 Arlington Ave, Toledo, OH 43614-2595Phone(419) 383-4000FaxUnlisted FaxMailing LocationMailing Address3000 Arlington Ave, Toledo, OH 43614-2595Phone(419) 383-4000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer