Organization
UROLOGY ASSOCIATES FACILITY
Active
Other names
Medical Information Technology Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STJEPAN GARDILCIC M.D. (MEDICAL DIRECTOR)
(419) 756-4999
Entity
Organization
Contact information
Practice address
675 BALLY ROW, MANSFIELD, OH 44906-2967
(419) 756-4999
(419) 756-4949
Mailing address
675 BALLY ROW, MANSFIELD, OH 44906-2967
(419) 756-4999
(419) 756-4949
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/22/2009
Last updated
09/22/2009
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