| 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 |