Individual
MANUEL V MADRAZO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 NAVARRE AVE, OREGON, OH 43616-3207
(419) 696-7411
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4231
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35045778
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446897
—
OH
Enumeration date
05/27/2006
Last updated
07/08/2007
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