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Individual

ROBERT A. DLWGOSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2422 LAKE AVE, ASHTABULA, OH 44004-4985
(440) 992-4422
Mailing address
2422 LAKE AVE, ASHTABULA, OH 44004-4985
(440) 992-4422
(440) 997-6507

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35061612
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0459990
OH
Enumeration date
04/26/2006
Last updated
12/28/2017
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