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Individual

DR. ERIC KUIVINEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
218 S MYRTLE AVE, WILLARD, OH 44890-1408
(419) 933-3012
Mailing address
218 S MYRTLE AVE, WILLARD, OH 44890-1408
(419) 933-3012
(419) 933-7040

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
052668
OH
208600000X
Surgery Physician
Primary
35074888
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2875349
OH
Enumeration date
09/20/2006
Last updated
08/12/2015
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