Individual
DR. AMAR BASAVARAJ MUTNAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5319 HOAG DR STE 240, SHEFFIELD VILLAGE, OH 44035-1493
(419) 626-6161
(419) 502-3537
Mailing address
PO BOX 378, SANDUSKY, OH 44871-0378
(419) 609-1112
(419) 502-3537
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
35.120264
OH
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
35.120264
OH
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
35.120264
OH
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
ME108709
FL
Other
Enumeration date
05/10/2007
Last updated
01/28/2021
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