Individual
SEAN ROBERT NISCHWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
411 DEVON PL, KENT, OH 44240-6480
(330) 677-7681
Mailing address
78 HAHNS WAY, WADSWORTH, OH 44281-8499
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.007858
OH
Other
Enumeration date
10/05/2022
Last updated
02/09/2023
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