Organization
ASTUTE MEDICAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE CROCKER (SECRETARY-TREASURER)
(330) 455-5595
Entity
Organization
Contact information
Practice address
2425 13TH ST NW, CANTON, OH 44708-3116
(330) 455-5595
(330) 455-5598
Mailing address
2425 13TH ST NW, CANTON, OH 44708-3116
(330) 455-5595
(330) 455-5598
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0949326
—
OH
01
—
1120817
OHIO BWC NUMBER
OH
Enumeration date
05/30/2006
Last updated
08/22/2020
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