Individual
DR. BYONG JIK AHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
347 MIDWAY BLVD, SUITE 110, ELYRIA, OH 44035-9006
(440) 324-5555
(440) 324-5512
Mailing address
347 MIDWAY BLVD, SUITE 110, ELYRIA, OH 44035-9006
(440) 324-5555
(440) 324-5512
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35040472A
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0464680
—
OH
Enumeration date
07/06/2006
Last updated
07/08/2007
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