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Organization

BLANCHARD VALLEY VASCULAR SURGERY ASSOCIATES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL D MALONE MD (OWNER)
(419) 420-9175
Entity
Organization

Contact information

Practice address
1900 S MAIN ST, CDS SUITE 349, FINDLAY, OH 45840-1214
(419) 420-9175
(419) 420-3674
Mailing address
PO BOX 450637, WESTLAKE, OH 44145-0611
(800) 514-4390
(440) 808-3675

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DD4087
RAILROAD CARE GROUP
OH
Enumeration date
09/16/2006
Last updated
05/21/2008
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