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Individual

CANDACE A RICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7007 POWERS BLVD, PARMA, OH 44129-5437
(440) 743-3000
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35040745R
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0785208
OH
01
220013808
RAILROAD MEDICARE
Enumeration date
01/25/2006
Last updated
08/22/2011
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