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Individual

TERRY A. PUET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
540 PARMALEE AVE STE 310, YOUNGSTOWN, OH 44510-1605
(330) 539-4319
Mailing address
540 PARMALEE AVE STE 310, YOUNGSTOWN, OH 44510-1605
(330) 539-4319

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
046335
OH
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35048335P
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0522465
OH
Enumeration date
01/11/2006
Last updated
10/11/2013
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