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Individual

SHAREN JOSEPH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3740 W SYLVANIA AVE, SUITE 250, TOLEDO, OH 43623-4461
(419) 473-6670
(419) 473-9959
Mailing address
3740 W SYLVANIA AVE, SUITE 250, TOLEDO, OH 43623-4461
(419) 473-6670
(419) 473-9959

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35123470
OH
208000000X
Pediatrics Physician
Primary
4301106256
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0105593
OH
Enumeration date
07/21/2011
Last updated
12/13/2024
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