Organization
UNIVERSITY OF LOUISVILLE RESEARCH FOUNDATION INC.
Active
Parent organization
UNIVERSITY OF LOUISVILLE
Other names
ULRF Plastic Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF LOUISVILLE
Authorized official
TONI GANZEL MD (VP FOR ACADEMIC MEDICAL AFFAIRS)
(502) 852-5555
Entity
Organization
Contact information
Practice address
401 E CHESTNUT ST, SUITE 710, LOUISVILLE, KY 40202-5700
(502) 583-8303
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0320
(502) 588-0326
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65900946
—
KY
Enumeration date
01/10/2014
Last updated
08/25/2020
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