Individual
DR. JACQUES SERGE ST.JULIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8401 MARKET ST, BOARDMAN, OH 44512-6725
(330) 729-4350
(330) 729-4351
Mailing address
8401 MARKET ST, BOARDMAN, OH 44512-6725
(330) 729-4350
(330) 729-4351
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35.041337
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0358394
—
OH
Enumeration date
11/26/2005
Last updated
02/02/2017
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