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Organization

MID OHIO NEURO OPHTHALMOLOGY AND NEURO OTOLOGY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT WALTER JENSEN MD JD (OWNER PROVIDER)
(740) 452-4053
Entity
Organization

Contact information

Practice address
751 FOREST AVE, ZANESVILLE, OH 43701-2868
(740) 452-4053
(740) 452-4580
Mailing address
751 FOREST AVE, ZANESVILLE, OH 43701-2868
(740) 452-4053
(740) 452-4580

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35082933
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2144807
OH
Enumeration date
04/16/2007
Last updated
08/28/2008
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