Organization
NORTH COAST ORTHOPEDIC SURGERY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M BONDRA D.O. (PRESIDENT)
(419) 355-9800
Entity
Organization
Contact information
Practice address
629 BARTSON RD, FREMONT, OH 43420-9672
(419) 355-9800
Mailing address
PO BOX 546, FREMONT, OH 43420-0546
(419) 355-9800
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1187880001
MEDICARE DME MAC B
OH
05
—
2203083
—
OH
Enumeration date
02/22/2007
Last updated
08/18/2011
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