Organization
ERIE SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP M HUTCHISON DO (PRESIDENT)
(419) 483-6655
Entity
Organization
Contact information
Practice address
1400 WEST MAIN ST, SUITE D, BELLEVUE, OH 44811
(419) 483-6655
(416) 483-6699
Mailing address
1400 WEST MAIN ST, SUITE D, BELLEVUE, OH 44811
(419) 483-6655
(416) 483-6699
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2631218
—
OH
01
—
7368728
AETNA
OH
01
—
DD6136
RAILROAD MEDICARE
OH
Enumeration date
03/16/2006
Last updated
04/20/2008
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