Individual
MR. COREY LANE ALTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
131 WERTZ AVE NW, CANTON, OH 44708-4171
(234) 214-8470
Mailing address
131 WERTZ AVE NW, CANTON, OH 44708-4171
(234) 214-8470
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
007419
OH
Other
Enumeration date
02/04/2026
Last updated
02/04/2026
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