Individual
MS. PHYLLIS MARIE KAZIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
182 EAST AVE, TALLMADGE, OH 44278-2311
(330) 630-9726
Mailing address
182 EAST AVE, TALLMADGE, OH 44278-2311
(330) 630-9726
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50000764
OH
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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