Colon, Rectal and Laser Surgery Associates, Inc.

NPI #1396959136 in Maumee, Ohio

Provider Information

NPI Number
1396959136
Entity Type
Organization
Organization Name
Colon, Rectal and Laser Surgery Associates, Inc.
Primary Specialty
Colon & Rectal Surgery
Enumeration Date
May 10, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
5705 MONCLOVA RD
Address 2
SUITE 203
City
Maumee
State
Ohio
ZIP Code
43537-1875
Phone
(419) 893-2622

Authorized Official

Name
DR. RAJU S SHAH, M.D.
Title
PRESIDENT
Phone
(419) 893-2622

Specialties & Taxonomy Codes

Specialty
Colon & Rectal Surgery

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