Individual
JOHN H WANAMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
124 S SANDUSKY AVE, BUCYRUS, OH 44820-2219
(419) 562-8777
(419) 562-0921
Mailing address
124 S SANDUSKY AVE, BUCYRUS, OH 44820-2219
(419) 562-8777
(419) 562-0921
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
R2490148
OH
Other
Enumeration date
09/02/2005
Last updated
07/08/2007
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