| Robert A Bazylak, M.d. | |
|
12387 Conneaut Lake Rd Conneaut Lake PA 16316-4203 | |
| (814) 382-0221 | |
| (814) 382-0231 |
| Full Name | Robert A Bazylak, M.d. |
|---|---|
| Speciality | Family Medicine |
| Location | 12387 Conneaut Lake Rd, Conneaut Lake, Pennsylvania |
| Authorized Official Name and Position | Christian Miles (VICE PRESIDENT, PHYSICIAN SERVICES) |
| Authorized Official Contact | 8143335267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert A Bazylak, M.d. 1034 Grove St Meadville PA 16335-2945 Ph: (814) 382-0221 | Robert A Bazylak, M.d. 12387 Conneaut Lake Rd Conneaut Lake PA 16316-4203 Ph: (814) 382-0221 |
| NPI Number | 1306382270 |
|---|---|
| Provider Enumeration Date | 01/16/2017 |
| Last Update Date | 01/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306382270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD014601E (Pennsylvania) | Primary |
Lakeside Family Medicine-upmc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11065 State Highway 18, Suite 1, Conneaut Lake, PA 16316 Phone: 814-382-6550 | |
Titusville Area Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10926 State Highway 18, Conneaut Lake, PA 16316 Phone: 814-382-0446 Fax: 814-382-7386 | |
Thrive Pelvic Health And Wellness Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11018 State Highway 18 Ste 4, Conneaut Lake, PA 16316 Phone: 814-282-4903 | |
Conneaut Lake Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10926 Highway 18, Conneaut Lake, PA 16316 Phone: 814-382-0446 Fax: 814-382-7386 |