Organization
PORTAGE SURGICAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD PANZETER MD (PRESIDENT)
(330) 296-8239
Entity
Organization
Contact information
Practice address
3973 LOOMIS PKWY, SUITE B, RAVENNA, OH 44266-1803
(330) 296-8239
(330) 296-6528
Mailing address
3973 LOOMIS PKWY, SUITE B, RAVENNA, OH 44266-1803
(330) 296-8239
(330) 296-6528
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2045263
—
OH
Enumeration date
05/18/2006
Last updated
08/22/2020
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