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Individual

DR. MICHAEL ANTHONY DISANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 PERKINS SQ, AKRON, OH 44308-1063
(330) 543-8050
(330) 543-8054
Mailing address
1 PERKINS SQ, AKRON, OH 44308-1063
(330) 543-8050
(330) 543-8054

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
1427494830
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
35.129321
STATE MEDICAL LICENSE
OH
Enumeration date
05/13/2013
Last updated
04/15/2021
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