Individual
ANTHONY HAEUFGLOECKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4320 CLEVELAND AVE SE, CANTON, OH 44707-1143
(330) 484-2584
(330) 484-3529
Mailing address
4320 CLEVELAND AVE SE, CANTON, OH 44707-1143
(330) 484-2584
(330) 484-3529
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34008117
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2566567
—
OH
01
—
34008117
LICENSE
OH
Enumeration date
07/08/2006
Last updated
03/07/2022
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