Organization
WALTER G. BODJANAC, DO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAUN D SKYRM (ADMINISTRATOR)
(330) 773-3544
Entity
Organization
Contact information
Practice address
770 BALGREEN DR, SUITE 109, MANSFIELD, OH 44906-4106
(419) 756-9996
Mailing address
358 BIRCH ST, AKRON, OH 44301-2602
(330) 773-3544
(330) 773-3698
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
34005512
OH
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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