Individual
ELIZABETH MUTERSPAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3039 US ROUTE 68 S, XENIA, OH 45385-9742
(937) 372-6123
Mailing address
3039 US ROUTE 68 S, XENIA, OH 45385-9742
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
UD1014157
OH
Other
Enumeration date
02/25/2014
Last updated
02/25/2014
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