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Individual

GODWIN I MENIRU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4601 EVERHARD RD NW, CANTON, OH 44718-2408
(330) 497-9400
Mailing address
4601 EVERHARD ROAD NW, CANTON, OH 44718-2408
(330) 497-9400

Taxonomy

Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
35080282M
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1376559799
GROUP NPI
OH
05
2401707
OH
Enumeration date
11/14/2005
Last updated
11/16/2009
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