Individual
JOHN C PEDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
270 S CLEVELAND MASSILLON RD STE C, FAIRLAWN, OH 44333-6000
(330) 443-0221
(330) 303-1880
Mailing address
270 S CLEVELAND MASSILLON RD STE C, FAIRLAWN, OH 44333-6000
(330) 443-0221
(330) 303-1880
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
35--070058
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0435666
—
OH
01
—
1942892237
NPI2
OH
Enumeration date
01/09/2006
Last updated
10/18/2021
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