Individual
DR. FRANCINE MARIE TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD MPH
Contact information
Practice address
5501 BEACH RD, MEDINA, OH 44256-8103
(330) 239-4800
Mailing address
5501 BEACH RD, MEDINA, OH 44256-8103
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35-058611
OH
207Q00000X
Family Medicine Physician
35058611T
OH
2083X0100X
Occupational Medicine Physician
35058611T
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0765220
—
OH
01
—
4132103
MEDICARE ID
OH
Enumeration date
05/30/2007
Last updated
01/12/2021
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