Provider Demographics
NPI:1154380541
Name:SURFIELD, GREGORY A (MD)
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:A
Last Name:SURFIELD
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1031 PIERCE STREET
Mailing Address - Street 2:SUITE D
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870
Mailing Address - Country:US
Mailing Address - Phone:419-557-5541
Mailing Address - Fax:419-557-5542
Practice Address - Street 1:701 TYLER ST
Practice Address - Street 2:SUITE 301
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870-3321
Practice Address - Country:US
Practice Address - Phone:419-621-1940
Practice Address - Fax:419-621-5530
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2012-09-11
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Provider Licenses
StateLicense IDTaxonomies
OH35.087256208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
151585Medicare UPIN