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Organization

KETTERING CARDIOTHORACIC AND VASCULAR SURGEONS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHASLING DELGADO-CORDERO P.A. (PHYSICIAN ASSISTANT)
(734) 664-7820
Entity
Organization

Contact information

Practice address
3533 SOUTHERN BLVD STE 5650, KETTERING, OH 45429-1263
(937) 294-3611
(937) 294-9010
Mailing address
3533 SOUTHERN BLVD STE 5650, KETTERING, OH 45429-1263
(937) 294-3611
(937) 294-9010

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004803
OH

Other

Enumeration date
10/12/2016
Last updated
10/12/2016
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