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Individual

DARLENE A MAGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
545 N BROAD ST, STE. 1, CANFIELD, OH 44406-9200
(330) 533-3900
(330) 533-8498
Mailing address
545 N BROAD ST, STE. 1, CANFIELD, OH 44406-9200
(330) 533-3900
(330) 533-8498

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
05010122L
PA
207L00000X
Anesthesiology Physician
Primary
34-005925
OH
207L00000X
Anesthesiology Physician
5101009972
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0996623
OH
05
15146304
PA
Enumeration date
10/24/2006
Last updated
07/08/2007
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