Organization
LIMA MEMORIAL PROFESSIONAL CORPORATION
Active
Other names
Midwest Surgical Specialists Spine and Neurosurgery, Lima Memorial Health System Surgical Services, Midwest Surgical Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY UTZ (DIRECTOR OF LMP)
(419) 998-4668
Entity
Organization
Contact information
Practice address
1003 BELLEFONTAINE AVE STE 125, LIMA, OH 45804-1867
(419) 998-8207
(419) 998-8216
Mailing address
1001 BELLEFONTAINE AVE, LIMA, OH 45804-2800
(419) 998-4575
(419) 998-4586
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
—
—
208600000X
Surgery Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457474900
GROUP NPI
OH
05
—
2223703
—
OH
Enumeration date
05/22/2008
Last updated
04/09/2022
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