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Organization

MARYSVILLE OHIO SURGICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JO ELLEN BRADEN RN (ADMINISTRATOR)
(937) 642-6622
Entity
Organization

Contact information

Practice address
122 PROFFESSIONAL PKWY, MARYSVILLE, OH 43040-8053
(937) 642-6622
(937) 642-6635
Mailing address
122 PROFFESSIONAL PKWY, MARYSVILLE, OH 43040-8053
(937) 642-6622
(937) 642-6635

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0751AS
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2538409
OH
Enumeration date
04/12/2006
Last updated
03/19/2008
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