Individual
DR. MICHAEL J SEVILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2370 SOUTHEAST BLVD, SALEM, OH 44460-3418
(330) 332-9961
Mailing address
2370 SOUTHEAST BLVD, SALEM, OH 44460-3418
(330) 332-9961
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35078842
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0377597
—
OH
Enumeration date
08/20/2006
Last updated
01/22/2014
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