Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 35079343S | OH |
NPI | 1043217334 |
---|---|
Provider Name | Dr. Brian John Savage |
First Address | Toledo, OH 43608-2681 |
Second Address | Toledo, OH 43608-2681 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2005 |
Last Update Date | 29/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000205143 | ANTHEM (01) | OH |
04003 | PARAMOUNT (01) | OH |
0406317 | UNITED HEALTHCARE (01) | OH |
2253636 | (05) | OH |
4349543 | (05) | MI |
725364 | (05) | OH |
H40978 | (02) | OH |