Individual
DANIEL K CASSAVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 BRIGHAM DR STE 120, PERRYSBURG, OH 43551-7121
(419) 872-7703
(419) 872-1704
Mailing address
1601 BRIGHAM DR STE 120, PERRYSBURG, OH 43551-7121
(419) 872-7703
(419) 872-1704
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35.064640
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000285788
ANTHEM
OH
01
—
02052
PARAMOUNT
OH
05
—
0920025
—
OH
01
—
25-01205
UHC
OH
01
—
4334400
AETNA
OH
05
—
4680737
—
MI
05
—
4680746
—
MI
05
—
4680755
—
MI
01
—
P00038304
RRMC
OH
Enumeration date
08/09/2005
Last updated
11/03/2023
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