Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Mar 20, 2007
License(s)
35-091127 (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 5757 PARK CENTER CT | Toledo, OH 43615 | 419-474-4064 |
| MAILING | 5757 PARK CENTER CT | Toledo, OH 43615 | 419-474-4064 |
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