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Individual

PAUL C SHIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
970 E WASHINGTON ST, 5A, MEDINA, OH 44256-3332
(330) 721-5700
Mailing address
970 E WASHINGTON ST, 5A, MEDINA, OH 44256-3332
(330) 721-5700

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
35062801
OH
208VP0014X
Interventional Pain Medicine Physician
Primary
35.062801
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0108798
OH
Enumeration date
05/26/2005
Last updated
10/07/2014
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