Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Aug 17, 2006
License(s)
35062765A (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 7630 KINGS POINTE RD | Toledo, OH 43617-1500 | 419-517-7500 |
| LOCATION | 7640 SYLVANIA AVE STE. B | Sylvania, OH 43560-9729 | 419-517-7500 |
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