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Organization
NORTHWEST OHIO SURGICAL CENTERS, INC
Active
Organization
NORTHWEST OHIO SURGICAL CENTERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN SHALL (PRESIDENT/ORAL SURGEON)
(419) 517-4404
Entity
Organization
Contact information
Practice address
5688 MONROE ST, SYLVANIA, OH 43560-2736
(419) 517-4404
Mailing address
5688 MONROE ST, SYLVANIA, OH 43560-2736
(419) 517-4404
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
16634
OH
Other
Enumeration date
01/27/2014
Last updated
08/12/2014
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