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Individual

DR. JOHN HOWARD SIRAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
830 W HIGH ST STE 207, LIMA, OH 45801-3975
(419) 996-4011
(419) 996-4012
Mailing address
PO BOX 636930, CINCINNATI, OH 45263-6930

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
0101257628
VA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
35069230
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1568418622
VA
05
2447892
OH
Enumeration date
05/26/2006
Last updated
03/30/2022
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