Individual
MANUEL LOW DE LA SERNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
960 W WOOSTER ST, SUITE 101, BOWLING GREEN, OH 43402-2644
(419) 352-1404
(419) 354-4323
Mailing address
745 HASKINS RD, SUITE B, BOWLING GREEN, OH 43402-1600
(419) 353-7069
(419) 353-7076
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35035987
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0222619
—
OH
Enumeration date
08/20/2006
Last updated
05/12/2016
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