Organization
COUNTY OF MEDINA AUDITOR
Active
Other names
Medina County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN MICHAEL BODJANAC DO (MEDICAL DIRECTOR)
(330) 723-9688
Entity
Organization
Contact information
Practice address
4800 LEDGEWOOD DR, MEDINA, OH 44256-7666
(330) 723-9688
(330) 723-9697
Mailing address
4800 LEDGEWOOD DR, MEDINA, OH 44256-7666
(330) 723-9688
(330) 723-9697
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0870919
—
OH
Enumeration date
02/09/2007
Last updated
02/22/2013
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