EDGAR MAEYENS

COOS BAY, OR
NPI1871574947
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207ND0101X Dermatology, MOHS-Micrographic Surgery
(Licence: OR  MD08528)
Enumeration Date2005-11-07
Last Update Date2017-12-05
Business Address
EDGAR MAEYENS md
375 PARK AVE SUITE 5
COOS BAY, OR 97420-2242
Phone number: 541-267-7543
Mailing Address
EDGAR MAEYENS md
1793 13TH ST SE
SALEM, OR 97302-2541
Phone number: 503-362-8385
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