BASIL S WALDBAUM

MENTOR, OH
NPI1437265774
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OH  AW3083893)
Enumeration Date2006-08-21
Last Update Date2007-07-08
Business Address
-- BASIL S WALDBAUM MD
8300 TYLER BLVD.
MENTOR, OH 44060-4328
Phone number: 440-205-1529
Mailing Address
-- BASIL S WALDBAUM MD
8300 TYLER BLVD.
MENTOR, OH 44060-4328
Phone number: 440-205-1529
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