Individual
JAMES MICHAEL SUDIMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1350 E MARKET ST, WARREN, OH 44483-6608
(330) 841-9011
Mailing address
2774 TIMBER CREEK DR N, CORTLAND, OH 44410-1756
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35053601S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0894975
—
OH
01
—
942460636064
CARESOURCE
OH
Enumeration date
06/09/2006
Last updated
07/08/2007
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