Individual
EDWARD SIERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
145 W WALLACE ST, FINDLAY, OH 45840-1239
(419) 423-5206
(419) 423-5420
Mailing address
250 N SHADELAND AVE, SUITE 130-PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
(419) 423-5206
(317) 962-4343
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01070922A
IN
207P00000X
Emergency Medicine Physician
35057470
OH
207Q00000X
Family Medicine Physician
35057470
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0717308
—
OH
Enumeration date
03/07/2006
Last updated
02/03/2017
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