Healthcare Provider Details

I. General information

NPI: 1982668463
Provider Name (Legal Business Name): HAND SURGERY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5300 FAR HILLS AVE SUITE 100
DAYTON OH
45429-2381
US

IV. Provider business mailing address

5300 FAR HILLS AVE SUITE 100
DAYTON OH
45429-2381
US

V. Phone/Fax

Practice location:
  • Phone: 937-439-5503
  • Fax: 937-439-5286
Mailing address:
  • Phone: 937-439-5503
  • Fax: 937-439-5286

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MARK STEPHEN KLUG
Title or Position: PRESIDENT
Credential: M.D.
Phone: 937-439-5503