Individual
SHANE MICHAEL MAAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1518 N PERRY ST, OTTAWA, OH 45875-1167
(419) 523-5670
(419) 523-4025
Mailing address
1518 N PERRY ST, OTTAWA, OH 45875-1167
(419) 523-5670
(419) 523-4025
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5882
OH
Other
Enumeration date
06/16/2009
Last updated
11/28/2022
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