Phillip Arthur Immesoete Ii, MD | |
335 Glessner Ave Fl Mob2, Mansfield, OH 44903-2269 | |
(567) 241-7700 | |
(567) 241-7719 |
Full Name | Phillip Arthur Immesoete Ii |
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Gender | Male |
Speciality | Neurological Surgery |
Location | 335 Glessner Ave Fl Mob2, Mansfield, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609089317 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | 35.090300 (Ohio) | Primary |
Entity Name | Ohiohealth Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532 |
Mailing Address | Practice Location Address |
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Phillip Arthur Immesoete Ii, MD Po Box 7527, Dublin, OH 43017-0727 Ph: () - | Phillip Arthur Immesoete Ii, MD 335 Glessner Ave Fl Mob2, Mansfield, OH 44903-2269 Ph: (567) 241-7700 |
Dr. Cristina Diana Ghinda, MD, PHD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 335 Glessner Ave Fl Mob2, Mansfield, OH 44903 Phone: 567-241-7700 Fax: 567-241-7719 | |
Dr. Bohdan Wolodymyr Chopko, PHD MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 39 Wood St, Mansfield, OH 44903 Phone: 419-775-1200 Fax: 419-774-1300 |