Individual
SAREL JOHANNES VORSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
762 S CLEVELAND MASSILLON RD, FAIRLAWN, OH 44333-3024
(330) 665-4100
(330) 665-6748
Mailing address
762 S CLEVELAND MASSILLON RD, FAIRLAWN, OH 44333-3024
(330) 665-4100
(330) 665-6748
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
35-097203
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841239274
PARTNERS PHYSICIAN GROUP TYPE 2 NPI
OH
01
—
2551671
PARTNERS PHYSICIAN GROUP MEDICAID
OH
05
—
3157579
—
OH
01
—
9338635
PARTNERS PHYSICIAN GROUP MEDICARE
OH
Enumeration date
05/18/2011
Last updated
10/18/2016
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