Individual
MR. TIMOTHY J MIDURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
566 EAST ROBINSON AVE, STE 400, BARBERTON, OH 44203
(330) 753-1015
(330) 753-3103
Mailing address
10600COAL BANK RD, MARSHALVILLE, OH 44645
(330) 855-2065
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
50.000968
OH
363AM0700X
Medical Physician Assistant
Primary
50000968
OH
Other
Enumeration date
08/25/2006
Last updated
06/01/2010
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