Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213ES0131X | Foot Surgery | 1135 | MI |
N | 213ES0131X | Foot Surgery | 1568 | FL |
Y | 213ES0131X | Foot Surgery | 36002459 | OH |
NPI | 1376544148 |
---|---|
Provider Name | Dr. Victor S Cernis |
First Address | Sylvania, OH 43560-1095 |
Second Address | Toledo, OH 43614-3403 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2005 |
Last Update Date | 28/09/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0686002 | (05) | OH |
T71136 | (02) | OH |