Walter G. Bodjanac, Do, LLC

NPI #1093984767 in Mansfield, Ohio

Provider Information

NPI Number: 1093984767
Entity Type: Organization
Organization Name: Walter G. Bodjanac, Do, LLC
Primary Specialty: Plastic Surgery
Enumeration Date: Feb 26, 2008
Last Updated: Feb 26, 2008

Practice Location

Address: 770 BALGREEN DR
Address 2: SUITE 109
City: Mansfield
State: Ohio
ZIP Code: 44906-4106
Phone: (419) 756-9996

Authorized Official

Name: RAUN D SKYRM
Title: ADMINISTRATOR
Phone: (330) 773-3544

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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