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Organization
MIDWEST BREAST AND AESTHETIC SURGERY, INC.
Active
Organization
MIDWEST BREAST AND AESTHETIC SURGERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PANKAJ TIWARI M.D. (PRESIDENT)
(614) 202-7468
Entity
Organization
Contact information
Practice address
1329 CHERRY WAY DR, SUITE 200, GAHANNA, OH 43230-6777
(614) 202-7468
(855) 687-6227
Mailing address
1329 CHERRY WAY DR STE 200, GAHANNA, OH 43230-6781
(614) 202-7468
(855) 687-6227
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
11/15/2013
Last updated
09/05/2016
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