Individual
JOE W SAYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1250 RALSTON AVE, SUITE 203, DEFIANCE, OH 43512-5311
(419) 783-6997
(419) 782-6873
Mailing address
1250 RALSTON AVE, SUITE 203, DEFIANCE, OH 43512-5311
(419) 783-6997
(419) 782-6873
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35050180S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000576671
ANTHEM
—
01
—
00331
PARAMOUNT
—
01
—
04062385
AETNA
—
05
—
0635905
—
OH
01
—
P00667926
RRMC
OH
Enumeration date
07/07/2005
Last updated
03/11/2009
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