Organization
FAMILY MEDICINE HEALTH & WELLNESS CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY ANN KOTNIK M.D. (PRESIDENT)
(330) 832-2280
Entity
Organization
Contact information
Practice address
2859 AARONWOOD AVE NE, MASSILLON, OH 44646-2371
(330) 832-2280
(330) 832-4732
Mailing address
2859 AARONWOOD AVE NE, MASSILLON, OH 44646-2371
(330) 832-2280
(330) 832-4732
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2382372
—
OH
Enumeration date
07/16/2006
Last updated
08/22/2020
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