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Individual

JOSEPH JAY GUTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
24 MORRIS RD, SUITE 2, SHELBY, OH 44875-1170
(419) 347-4177
Mailing address
1040 DELAWARE AVE, MARION, OH 43302-6416
(740) 383-7936
(740) 375-8174

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35.064900
OH
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
35.064900
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0925431
OH
01
H383664
MEDICARE
OH
Enumeration date
03/31/2006
Last updated
12/15/2021
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