Individual
IVAN J MUSIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1159 WYANDOTTE AVE, MANSFIELD, OH 44906-1940
(419) 543-0204
Mailing address
1159 WYANDOTTE AVE, MANSFIELD, OH 44906-1940
(419) 543-0204
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
06038
OH
Other
Enumeration date
11/02/2019
Last updated
11/02/2019
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