Organization
NORTHWEST SURGICAL SPECIALISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARRELL K EVANS JR. M.D. (PRESIDENT)
(419) 893-5591
Entity
Organization
Contact information
Practice address
999 ILLINOIS AVE, MAUMEE, OH 43537-1715
(419) 893-5591
(419) 893-0162
Mailing address
999 ILLINOIS AVE, MAUMEE, OH 43537-1715
(419) 893-5591
(419) 893-0162
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0299805
—
OH
Enumeration date
07/16/2006
Last updated
08/22/2020
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