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Individual

RICHARD KEVIN SHEWBRIDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4087 MEDINA RD, SUITE 400, MEDINA, OH 44256-5946
(330) 725-3713
(330) 725-2141
Mailing address
2934 TOMPKINS RD, MEDINA, OH 44256-9204
(330) 723-2138

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
35069897
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0269687
OH
Enumeration date
01/03/2006
Last updated
06/27/2011
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