Individual
JUSTIN E STUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2202 FITCHVILLE RIVER RD, WAKEMAN, OH 44889-9327
(440) 935-5296
Mailing address
2202 FITCHVILLE RIVER RD, WAKEMAN, OH 44889-9327
(440) 935-5296
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.009104RX
OH
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/27/2024
Last updated
10/10/2024
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