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Individual

KASIMIR OGANOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 SAINT CLAIR AVE, SAINT MARYS, OH 45885-2400
(419) 394-3335
Mailing address
7068 MEEKER COMMONS LN, DAYTON, OH 45414-2000
(937) 890-8617

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35041231
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000342356
ANTHEM CCC
OH
05
0361942
OH
01
27036123000
BWC
OH
01
3903304
UHC CCC
OH
01
3920481
UHC ER
OH
Enumeration date
06/21/2006
Last updated
06/03/2010
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