Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2082S0105X | Plastic Hand Surgeon | 35.097589 | OH |
NPI | 1851573992 |
---|---|
Provider Name | Dr. Michael Colin Rymer |
First Address | Dayton, OH 45459-4778 |
Second Address | Dayton, OH 45459-4778 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2007 |
Last Update Date | 15/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0099279 | (05) | OH |