Organization
OSU SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY M. PAWLIK M.D. (DEPARTMENT CHAIR)
(614) 293-8701
Entity
Organization
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-3230
(614) 293-4030
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 685-0010
(614) 685-2883
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0693030
—
OH
Enumeration date
05/04/2006
Last updated
01/28/2020
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