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Individual

MARK V. BOSWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1125 HOSPITAL DR, TOLEDO, OH 43614
(419) 383-6699
(419) 383-3378
Mailing address
3355 GLENDALE AVE FL 3, TOLEDO, OH 43614-2426
(419) 383-6699
(419) 383-3378

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
43774
KY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
35.054673
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200992590
IN
05
7100148990
KY
Enumeration date
04/03/2006
Last updated
05/31/2018
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