Organization
SANDUSKY GASTROENTEROLOGISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE R. MCCORMACK M.D. (PRESIDENT)
(419) 627-1056
Entity
Organization
Contact information
Practice address
1410 MILAN RD, SANDUSKY, OH 44870-4130
(419) 627-1056
(419) 627-6269
Mailing address
1410 MILAN RD, SANDUSKY, OH 44870-4130
(419) 627-1056
(419) 627-6269
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
034991
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361791
—
OH
Enumeration date
09/20/2007
Last updated
10/01/2007
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