Individual
JORDAN ETSCHEIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4466 FULTON DR NW, CANTON, OH 44718-2864
(330) 670-4006
(330) 670-4028
Mailing address
4466 FULTON DR NW, CANTON, OH 44718-2864
(330) 670-4006
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35.139541
OH
Other
Enumeration date
05/14/2014
Last updated
07/22/2020
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