Organization
RICHLAND SURGICAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL E DETRICH (PRESIDENT)
(419) 522-2833
Entity
Organization
Contact information
Practice address
215 WOOD ST, MANSFIELD, OH 44903-2260
(419) 522-2833
(419) 524-1619
Mailing address
215 WOOD ST, MANSFIELD, OH 44903-2260
(419) 522-2833
(419) 524-1619
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0148496
—
OH
Enumeration date
07/30/2006
Last updated
04/10/2014
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