Organization · Type 2 NPI
Medcentral Professional Foundation, LLC
Facial Plastic Surgery Physician · Mansfield, OH
NPI number
1841476942
Active
Practice location
308 Glessner Avenue
Mansfield, OH 44903-2269
Fax (419) 526-8834
Mailing address
335 Glessner Ave
Mansfield, OH 44903-2269
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology Physician | 207L00000X | None listed |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | None listed |
| Internal Medicine Physician | 207R00000X | None listed |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 35-07-2694-D (OH) |
| Pulmonary Disease Physician | 207RP1001X | None listed |
| Rheumatology Physician | 207RR0500X | None listed |
| Neurological Surgery Physician | 207T00000X | 35090672 (OH) |
| Obstetrics & Gynecology Physician | 207V00000X | None listed |
| Orthopaedic Surgery Physician | 207X00000X | None listed |
| Facial Plastic Surgery Physician Primary | 207YS0123X | None listed |
| Surgery Physician | 208600000X | None listed |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | None listed |
Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.
About NPI 1841476942
Medcentral Professional Foundation, LLC's National Provider Identifier is 1841476942, issued on Jan 18, 2008. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Mansfield, OH. The record was last updated on Sep 17, 2013.