# ROBERT G NETZLEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1659329076
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 35-050271 | OH | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 35-050271 | OH | Yes |

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 02/14/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0628628 | — | OH |
| 01 | — | 1144401464 | SVS - WABASH AVE LOCATION TYPE 2 NPI \# | OH |
| 01 | — | 1265700520 | SVS - 1761 BEALL AVE., LOCATION TYPE 2 NPI \# | OH |
| 01 | — | 1841239274 | PARTNERS PHYSICIAN GROUP TYPE 2 NPI \# | OH |
| 01 | — | 2551671 | PARTNERS PHYSICIAN GROUP MEDICAID GROUP \# | OH |
| 01 | — | 9338635 | PARTNERS PHYSICIAN GROUP MEDICARE GROUP \# | OH |
| 01 | — | P00744702 | RR MEDICARE | OH |