Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 27716 | KY |
NPI | 1013973262 |
---|---|
Provider Name | Victor Schmelzer |
First Address | Cincinnati, OH 45263-6324 |
Second Address | Edgewood, KY 41017 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2006 |
Last Update Date | 04/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0050508 | (05) | OH |
200046170 | (05) | IN |
64277163 | (05) | KY |
E35719 | (02) | KY |