MARK DAVID IMWALLE

FAIRFIELD, OH
NPI1740284538
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology Diagnostic Radiology
(Licence: OH  35031812I)
Enumeration Date2005-06-09
Last Update Date2008-02-25
Business Address
MARK DAVID IMWALLE MD
3000 MACK RD
FAIRFIELD, OH 45014-5335
Phone number: 513-870-7024
Mailing Address
MARK DAVID IMWALLE MD
PO BOX 42417
CINCINNATI, OH 45242-0417
Phone number: 513-965-8041