Individual
OSAMUEDEMEN IYOHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 445-2677
(330) 455-2101
Mailing address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 455-0374
(330) 453-6716
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35-134151
OH
2084P0800X
Psychiatry Physician
4301116992
MI
Other
Enumeration date
04/07/2015
Last updated
05/20/2024
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