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1740284538
MARK DAVID IMWALLE
FAIRFIELD, OH
NPI
1740284538
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: OH 35031812I)
Enumeration Date
2005-06-09
Last Update Date
2008-02-25
Business Address
MARK DAVID IMWALLE MD
3000 MACK RD
FAIRFIELD, OH 45014-5335
Phone number: 513-870-7024
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Mailing Address
MARK DAVID IMWALLE MD
PO BOX 42417
CINCINNATI, OH 45242-0417
Phone number: 513-965-8041
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