Organization
TRI COUNTY DERMATOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCHIELD M WIKAS D.O. (PRESIDENT/PHYSICIAN)
(330) 929-9009
Entity
Organization
Contact information
Practice address
6847 NORTH CHESTNUT STREET, RAVENNA, OH 44266
(330) 929-9009
(330) 929-6264
Mailing address
421 GRAHAM RD, SUITE C, CUYAHOGA FALLS, OH 44221-1344
(330) 929-9009
(330) 929-6264
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
OH
Other
Enumeration date
07/24/2007
Last updated
10/24/2007
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