Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
May 25, 2007
License(s)
35088885 (OH), 104960 (MN), 53255 (MN)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2591 MIAMISBURG CENTERVILLE ROAD SUITE 302 | Dayton, OH 45459-3706 | 937-433-7622 |
| LOCATION | ONE MEDICAL CENTER DRIVE | Franklin, OH 45005-1066 | 513-420-5755 |
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