Organization
MANSFIELD PLASTIC SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL E. VILLALOBOS D.O. (OWNER)
(419) 756-1125
Entity
Organization
Contact information
Practice address
370 CLINE AVE, MANSFIELD, OH 44907-1057
(419) 756-1125
(419) 756-1825
Mailing address
370 CLINE AVE, MANSFIELD, OH 44907-1057
(419) 756-1125
(419) 756-1825
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
34005536
OH
Other
Enumeration date
05/01/2009
Last updated
05/01/2009
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