Organization
MILIND B. SANWARDEKER MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILIND B. SANWARDEKER M.D. (PRESIDENT)
(330) 492-5344
Entity
Organization
Contact information
Practice address
4850 HIGBEE AVE NW, CANTON, OH 44718-2528
(330) 492-5344
(330) 492-7369
Mailing address
4850 HIGBEE AVE NW, CANTON, OH 44718-2528
(330) 492-5344
(330) 492-7369
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-10-0066-S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000130710
ANTHEM
OH
05
—
0335051
—
OH
01
—
CL9883
RAILROAD MEDICARE
OH
Enumeration date
10/29/2007
Last updated
06/03/2010
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