Organization
SHELBY COUNTY SURGICAL ASSOC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON C MAURER (OFFICE MANAGER)
(937) 492-2094
Entity
Organization
Contact information
Practice address
915 WEST MICHIGAN STREET, SUITE 201, SIDNEY, OH 45365-2491
(937) 492-2094
(937) 492-1768
Mailing address
915 W MICHIGAN STREET, SUITE 201, SIDNEY, OH 45365-2491
(937) 492-2094
(937) 492-1768
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000026762
ANTHEM GROUP NUMBER
OH
05
—
0703555
—
OH
01
—
4480806
AETNA GROUP NUMBER
OH
01
—
C14899
TRAVLERS RR GROUP NUMBER
OH
Enumeration date
01/19/2007
Last updated
12/07/2011
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