Organization · Type 2 NPI

North Canton Medical Foundation

Addiction Medicine (Psychiatry & Neurology) Physician · North Canton, OH

NPI number 1649383340 Active

Practice location

6513 Frank Ave NW
North Canton, OH 44720-7265

Fax (330) 494-0828

Mailing address

6046 Whipple Ave NW
North Canton, OH 44720-7616

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Psychiatry & Neurology) Physician Primary 2084A0401XNone listed

Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

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About NPI 1649383340

North Canton Medical Foundation's National Provider Identifier is 1649383340, issued on Aug 16, 2006. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in North Canton, OH. The record was last updated on Mar 13, 2009.