Organization
MILLERSBURG CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BUTROS LATOUF MD (MD)
(330) 674-3434
Entity
Organization
Contact information
Practice address
5354 TOWNSHIP ROAD 336, STE B, MILLERSBURG, OH 44654
(330) 674-3434
(330) 674-3731
Mailing address
5354 TOWNSHIP ROAD 336, STE B, MILLERSBURG, OH 44654
(330) 674-3434
(330) 674-3731
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
350631710
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2091678
—
OH
Enumeration date
06/15/2006
Last updated
01/24/2019
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