Individual provider · Type 1 NPI

Eveline Rusdianto Klenotic, DO, FACS

Surgery Physician · Canton, OH

NPI number 1801185541 Active

Practice location

2600 Sixth St SW
Canton, OH 44710-1702

Call (330) 344-6000 Map

Mailing address

PO Box 80690
Canton, OH 44708-0690

Other practice locations

  • 4301 W Markham St # 725, Little Rock, AR 72205-7101 · (501) 296-1200

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000XE-15091 (AR)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Surgery Physician Primary 208600000X34.011721 (OH)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

318 other providers at this address

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About NPI 1801185541

Eveline Rusdianto Klenotic, DO, FACS's National Provider Identifier is 1801185541, issued on Apr 4, 2011. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Canton, OH. The record was last updated on Jul 19, 2023.