# SHANNAN C. ROSS M.D, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205019197
- **Authorized official:** DR. SHANNAN C. ROSS M.D. (OWNER)
- **Authorized official phone:** (330) 996-8798

## Contact information

- **Practice address:** 3724 CENTER RD, STE. 103, BRUNSWICK, OH 44212-4400
- **Practice address phone:** (330) 723-6060
- **Practice address fax:** (330) 723-6462
- **Mailing address:** 525 E MARKET ST, SPI-GROUND FLOOR, AKRON, OH 44304-1619
- **Mailing address phone:** (330) 996-8798
- **Mailing address fax:** (330) 996-8695

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/13/2007
- **Last updated:** 12/13/2007