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Individual

DR. MARCO MAURO DE SANTIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1272 WEST MAIN STREET, SUITE 204, NEWARK, OH 43055
(220) 564-1740
(220) 564-1741
Mailing address
1272 WEST MAIN STREET, SUITE 204, NEWARK, OH 43055
(220) 564-1740
(855) 299-8816

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34.013718
OH
207R00000X
Internal Medicine Physician
5101017743
MI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
34.013718
OH

Other

Enumeration date
07/10/2008
Last updated
08/13/2024
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