Walter G. Bodjanac, Do, Llc

NPI 1093984767 - Plastic Surgery - 208200000X

NPI Details
NPI 1093984767
Enumeration Date 02/26/2008
Last Updated 02/26/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name RAUN D RAUN
Position ADMINISTRATOR
Phone (419) 756-9996
Fax
Practice Location
770 BALGREEN DR
SUITE 109
MANSFIELD OH, 44906-4106, US
Phone (419) 756-9996
Fax
Business Location
358 BIRCH ST
AKRON OH, 44301-2602, US
Phone (330) 773-3544
Fax (330) 773-3698
Toxanomy
Taxonomy Code 208200000X
License State Ohio
License Number 34005512
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According to our database, Walter G. Bodjanac, Do, Llc NPI is 1093984767, taxonomy code is 208200000X and license number is 34005512, license state is located at Ohio. Walter G. Bodjanac, Do, Llc physically located at 770 Balgreen Dr, Mansfield OH, 44906-4106. NPI Number 1033115704 has the healthcare provider type.

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1093984767 NPI number is provided on an as is basis without warranty of any kind. 1093984767 is maintained by the National Plan & Provider Enumeration System. The contents of Walter G. Bodjanac, Do, Llc are for informational purposes only.