Individual
DR. DANIEL ALEXANDER CHARLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4760 BELPAR ST NW, CANTON, OH 44718-3603
(330) 492-9200
(330) 492-5454
Mailing address
4760 BELPAR ST NW, CANTON, OH 44718-3603
(330) 492-9200
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
15126R
LA
207X00000X
Orthopaedic Surgery Physician
35090817
OH
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
35090817
OH
Other
Enumeration date
10/21/2005
Last updated
03/18/2011
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