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Organization
TOWPATH TRAIL FAMILY MEDICINE
Active
Organization
TOWPATH TRAIL FAMILY MEDICINE
Active
Other names
Tigertown Family Practice Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
GERTRUDE P COTIAUX MD (PRESIDENT)
(330) 879-5983
Entity
Organization
Contact information
Practice address
1230 MARKET ST NE, NAVARRE, OH 44662
(330) 879-5983
(330) 879-9527
Mailing address
PO BOX 80690, CANTON, OH 44708
(330) 833-5530
(330) 833-6085
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2813754
—
OH
Enumeration date
10/12/2006
Last updated
06/17/2008
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