Registry details
Type
Individual
Primary specialty
Family Medicine
Enumerated
May 8, 2020
License(s)
5151014611 (MI), 34.016752 (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 432 KING CHURCH AVE SW | Uniontown, OH 44685-5100 | 330-877-0781 |
| LOCATION | 432 KING CHURCH AVE SW | Uniontown, OH 44685-5100 | 330-877-0781 |
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