Individual
DR. MARILYN SPRAGG JENRETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
133 WILBUR DR NE, NORTH CANTON, OH 44720-1641
(330) 494-6012
(330) 494-3880
Mailing address
3515 MASSILLON RD, STE 300, UNIONTOWN, OH 44685-7854
(330) 899-9350
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35048766
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0513680
—
OH
Enumeration date
09/09/2005
Last updated
06/23/2020
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