Individual
ETHAN OSBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3000 ARLINGTON AVE, MS 1050, GRADUATE MEDICAL EDUCATION, TOLEDO, OH 43614-2595
(816) 724-1908
Mailing address
241 16TH ST APT 904, TOLEDO, OH 43604-7403
(816) 724-1908
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03234192
OH
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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