Organization
UROLOGY ASSOCIATES OF NORTH CENTRAL OHIO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STJEPAN GARDILCIC M.D. (DIRECTOR)
(419) 756-4999
Entity
Organization
Contact information
Practice address
675 BALLY ROW, MANSFIELD, OH 44906
(419) 756-4999
(419) 756-4949
Mailing address
675 BALLY ROW, MANSFIELD, OH 44906
(419) 756-4999
(419) 756-4949
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7897208
AETNA
OH
01
—
CH5270
RAILROAD MEDICARE
OH
Enumeration date
07/06/2006
Last updated
10/18/2011
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