Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 35-090093 | OH |
Y | 208600000X | Surgeon | 35-090093 | OH |
N | 2086S0129X | Vascular Surgeon | 35.090093 | OH |
N | 2086S0129X | Vascular Surgeon | 35090093 | OH |
NPI | 1083803951 |
---|---|
Provider Name | Brian J Santin |
First Address | Wilmington, OH 45177-2170 |
Second Address | Wilmington, OH 45177-2170 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2007 |
Last Update Date | 21/06/2016 |