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Individual

ERICKA RENEE GLASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
7442 FRANK AVE NW, NORTH CANTON, OH 44720-7022
(330) 455-5367
(330) 455-6114
Mailing address
7442 FRANK AVE NW, NORTH CANTON, OH 44720-7022
(330) 455-5367
(330) 455-6114

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35090407
OH
207X00000X
Orthopaedic Surgery Physician
MD436024
PA
207XX0801X
Orthopaedic Trauma Physician
35090407
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3051914
OH
Enumeration date
05/07/2007
Last updated
09/30/2020
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