Organization
MID-WEST SURGICAL SPECIALISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY F OAKS DO (PRESIDENT)
(419) 998-8207
Entity
Organization
Contact information
Practice address
1003 BELLEFONTAINE AVE, SUITE 150, LIMA, OH 45804-2800
(419) 998-8207
(419) 998-8208
Mailing address
1003 BELLEFONTAINE AVE, SUITE 150, LIMA, OH 45804-2800
(419) 998-8207
(419) 998-8208
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
006411
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2411009
—
OH
01
—
CK4410
RAILROAD MEDICARE
OH
Enumeration date
05/31/2006
Last updated
06/21/2008
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