Organization Name:  MIDWEST ALLERGY ASSOCIATES, INC.


Practice Location:
8080 RAVINES EDGE CT  COLUMBUS, OH 43235 US
Tel: 614-846-5944  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology

Other Provider Identifiers:

Issuer	Number	State	Type
RAILROAD MEDICARE	CF1390	OH	01
	0064258	OH	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin