Portage Surgical Associates INC

NPI #1194778522 in Ravenna, Ohio

Provider Information

NPI Number: 1194778522
Entity Type: Organization
Organization Name: Portage Surgical Associates INC
Primary Specialty: Surgery
Enumeration Date: May 18, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 3973 LOOMIS PKWY
Address 2: SUITE B
City: Ravenna
State: Ohio
ZIP Code: 44266-1803
Phone: (330) 296-8239

Authorized Official

Name: DR. EDWARD PANZETER, MD
Title: PRESIDENT
Phone: (330) 296-8239

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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