Organization
CENTER FOR SURGICAL DERMATOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD J SIEGLE MD (OWNER)
(614) 847-4100
Entity
Organization
Contact information
Practice address
428 COUNTY LINE ROAD, WESTERVILLE, OH 43082-7027
(614) 847-4100
(614) 430-1601
Mailing address
428 COUNTY LINE ROAD, WESTERVILLE, OH 43082-7027
(614) 847-4100
(614) 430-1601
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2438366
—
OH
Enumeration date
07/01/2006
Last updated
07/17/2007
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