Organization
CHARLES C SHIN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES C SHIN MD (OWNER)
(440) 816-2730
Entity
Organization
Contact information
Practice address
7225 OLD OAK BLVD, SUITE B312, MIDDLEBURG HTS, OH 44130-3377
(440) 816-2730
(440) 816-5352
Mailing address
7225 OLD OAK BLVD, SUITE B312, MIDDLEBURG HTS, OH 44130-3377
(440) 816-2730
(440) 816-5352
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35100181
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0387764
—
OH
Enumeration date
06/09/2008
Last updated
04/09/2009
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