Individual
EDWARD J SEVERYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-9718
(513) 405-3845
Mailing address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-9718
(513) 405-3845
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35048838
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0514554
—
OH
Enumeration date
08/25/2006
Last updated
05/12/2013
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