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Individual

THEODORE WILLIAM NAGEL

Active
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Individual

THEODORE WILLIAM NAGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
35122154
OH
208200000X
Plastic Surgery Physician
Q6247
TX
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
Q6247
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0092488
OH
Enumeration date
06/09/2008
Last updated
09/17/2021
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