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Individual

DR. AZEDINE MEDHKOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
40 MEDICAL PARK STE 508, WHEELING, WV 26003-6392
(304) 243-8916
Mailing address
3355 GLENDALE AVE FL 3, TOLEDO, OH 43614-2426
(419) 383-3759
(419) 383-2962

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
30095
WV
207T00000X
Neurological Surgery Physician
35077964
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2175042
OH
Enumeration date
06/16/2005
Last updated
09/19/2022
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