Individual
TODD MICHAEL IVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
444 N MAIN ST, 6TH FLOOR, AKRON, OH 44310-3110
(330) 379-8190
(330) 379-8191
Mailing address
525 E MARKET ST, PO BOX 2090, AKRON, OH 44304-1619
(330) 379-8190
(330) 379-8191
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35-063976
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2247956
—
OH
Enumeration date
12/29/2005
Last updated
04/23/2013
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