Individual
MANISH M THUSAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2751 BAY PARK DR, 202, OREGON, OH 43616-4921
(419) 693-0711
Mailing address
4235 SECOR RD, TOLEDO, OH 43623-4231
(419) 693-0711
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35082131T
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2373373
—
OH
Enumeration date
07/05/2005
Last updated
05/25/2011
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