Individual
EMMANUEL OTOMEWO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2600 SIXTH ST SW, CANTON, OH 44710-1702
(330) 363-2319
(330) 580-5509
Mailing address
2600 SIXTH ST SW, CANTON, OH 44710-1702
(330) 363-2319
(330) 580-5509
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.130120
OH
207Q00000X
Family Medicine Physician
35130120
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0215540
—
OH
Enumeration date
04/17/2014
Last updated
01/10/2024
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