Organization
BLUEGRASS BARIATRIC SURGICAL ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEAN M OSCHWALD (CEO)
(859) 543-1577
Entity
Organization
Contact information
Practice address
2716 OLD ROSEBUD RD, SUITE 350, LEXINGTON, KY 40509-8559
(859) 543-1577
(859) 543-1637
Mailing address
2716 OLD ROSEBUD RD, SUITE 350, LEXINGTON, KY 40509-8559
(859) 543-1577
(859) 543-1637
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
30697
KY
208600000X
Surgery Physician
35422
KY
208600000X
Surgery Physician
42220
KY
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
05/06/2008
Last updated
10/28/2013
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