Organization
SYLVANIA ORTHOPAEDICS AND REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH J. RUSIN M.D. (PRESIDENT)
(419) 824-0300
Entity
Organization
Contact information
Practice address
5750 ALEXIS RD, SYLVANIA, OH 43560-2349
(419) 824-0300
(419) 824-0500
Mailing address
5750 ALEXIS RD, SYLVANIA, OH 43560-2349
(419) 824-0300
(419) 824-0500
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
OH
213E00000X
Podiatrist
36002275
OH
225100000X
Physical Therapist
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2848637
—
OH
Enumeration date
01/03/2007
Last updated
02/16/2016
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