Organization
SANDUSKY PLASTIC SURGERY INC
Active
Other names
Surgery Center of Sandusky
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH PARSCHAUER DO (MEDICAL DIRECTOR)
(419) 626-2800
Entity
Organization
Contact information
Practice address
2616 HAYES AVE, SANDUSKY PLASTIC SURGERY INC, SANDUSKY, OH 44870
(419) 626-2800
(419) 626-2820
Mailing address
2616 HAYES AVE, SANDUSKY PLASTIC SURGERY INC, SANDUSKY, OH 44870
(419) 626-2800
(419) 626-2820
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000248840
ANTHEM
OH
05
—
2071252
—
OH
Enumeration date
01/25/2006
Last updated
08/22/2020
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