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Individual

DR. ESBEN VOGELIUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(121) 684-4100
Mailing address
2043 RANDOM RD APT 1, CLEVELAND, OH 44106-5914
(732) 801-4915

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35.097106
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1026348090001
PA
05
3149131
OH
01
35.097106
LICENSE
OH
Enumeration date
05/07/2007
Last updated
11/02/2011
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