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Organization
STARK COUNTY INTERNAL MEDICINE INC
Active
Organization
STARK COUNTY INTERNAL MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE LYNN OBERLY M.D. (OWNER)
(330) 497-8636
Entity
Organization
Contact information
Practice address
1401 S MAIN ST, SUITE 101, NORTH CANTON, OH 44720-4289
(330) 497-8636
(330) 497-8634
Mailing address
1401 S MAIN ST, SUITE 101, NORTH CANTON, OH 44720-4289
(330) 497-8636
(330) 497-8634
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35076929-O
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2243594
—
OH
01
—
SP00931
MEDICARE GROUP NUMBER
—
Enumeration date
02/06/2008
Last updated
06/04/2014
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