Individual
DR. GLEN KATSUTO NAGASAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 E APPLE ST, SUITE 5254A, DAYTON, OH 45409-2939
(937) 208-4200
(937) 208-4205
Mailing address
30 E APPLE ST, SUITE 5254A, DAYTON, OH 45409-2939
(937) 208-4200
(937) 208-4205
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
156198-1
NY
2084N0400X
Neurology Physician
Primary
35-07-6615-N
OH
Other
Enumeration date
12/05/2005
Last updated
10/27/2016
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