Individual
CATHY LYNN CANTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12623 ECKEL JUNCTION RD STE 2600, PERRYSBURG, OH 43551-1304
(567) 368-1700
(567) 368-1701
Mailing address
12623 ECKEL JUNCTION RD STE 2600, PERRYSBURG, OH 43551-1304
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35082449
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000476566
ANTHEM
OH
01
—
06036
PARAMOUNT
OH
05
—
2593126
—
OH
01
—
7847795
AETNA
OH
01
—
P00370414
RRMC
OH
Enumeration date
08/10/2005
Last updated
04/06/2021
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