Individual
S JUSTIN MICHAEL EAGLESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
715 RICHLAND MALL, ONTARIO, OH 44906-3802
(567) 307-7854
(567) 307-7855
Mailing address
700 N COLUMBUS ST, CRESTLINE, OH 44827-1455
(419) 462-3485
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35.148903
OH
Other
Enumeration date
03/31/2016
Last updated
10/19/2023
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