NPI | 1588091599 |
---|---|
Doing Business As | BAY PARK SURGICAL |
Entity Type | Organization |
Authorized Contact | AMY L DYWER Credentialing Supervisor 419-824-7334 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery |
Additional Taxonomies | 208C00000X Colon & Rectal Surgery |
Enumeration Date | 2013-10-04 |
Last Update Date | 2013-10-04 |