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1548257876
MICHAEL H BASISTA
SYLVANIA, OH
NPI
1548257876
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: OH 35052150B)
Enumeration Date
2005-10-03
Last Update Date
2023-11-03
Business Address
MICHAEL H BASISTA M.D.
5700 MONROE ST UNIT 103
SYLVANIA, OH 43560-2771
Phone number: 419-843-7996
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Mailing Address
MICHAEL H BASISTA M.D.
ONE SEAGATE SUITE 800
TOLEDO, OH 43604
Phone number: 419-824-7250
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