Individual
BLANE W MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6115 POWERS BLVD, STE. 100, PARMA, OH 44129-5471
(440) 842-1570
(440) 842-8230
Mailing address
PO BOX 378, STE. 100, SANDUSKY, OH 44871-0378
(440) 842-1570
(440) 842-8230
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35042919M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0514410
—
OH
Enumeration date
12/29/2005
Last updated
12/06/2016
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