Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | 47614 | OH |
NPI | 1164560249 |
---|---|
Provider Name | Dr. Mark Wesley Vogelgesang |
First Address | Hartville, OH 44632-8891 |
Second Address | Canton, OH 44718-2784 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2007 |
Last Update Date | 16/11/2015 |