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Individual

DR. MARTIN SMILEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1900 23RD ST, CUYAHOGA FALLS, OH 44223-1404
(330) 971-7000
Mailing address
291 CROWN RIDGE DR, CUYAHOGA FALLS, OH 44223-2979
(330) 971-7000

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
34-006167
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000205415
ANTHEM PROVIDER NUMBER
OH
05
0208644
OH
Enumeration date
08/21/2006
Last updated
07/08/2007
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