Organization
NORTHSIDE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY W TANNER M.D. (GENERAL SURGERY RESIDENT)
(330) 402-5936
Entity
Organization
Contact information
Practice address
500 GYPSY LANE, YOUNGSTOWN, OH 44501
(330) 884-1000
Mailing address
500 GYPSY LANE, YOUNGSTOWN, OH 44501
(330) 884-1000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
08/12/2011
Last updated
08/12/2011
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