Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Plastic and Reconstructive Surgery |
2086S0122X | 02 | Physician/General Surgery | |
Plastic Surgery Within the Head and Neck |
2082S0099X | 02 | Physician/General Surgery | |
Surgery of the Hand |
2086S0105X | 02 | Physician/General Surgery |
| NPI # | 1871724500 |
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| LBN Legal business name | OMNIVERSE PLASTIKOS PA | ||||
| Authorized official | ARNO SCHLEICH - (PRESIDENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 07/29/2009 | ||||
| Last updated | 12/20/2010 - About 15 years ago | ||||
| Identifiers |
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OMNIVERSE PLASTIKOS PA
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