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Organization

DONICH NEUROSURGERY AND SPINE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANE JOHN DONICH MD (PRESIDENT)
(330) 576-3500
Entity
Organization

Contact information

Practice address
3562 RIDGE PARK DR, SUITE A, FAIRLAWN, OH 44333-9294
(330) 576-3500
(330) 576-3900
Mailing address
PO BOX 26125, AKRON, OH 44319-6125
(888) 719-9015
(330) 493-7123

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3073329
OH
Enumeration date
07/02/2010
Last updated
11/22/2010
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