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Individual

CHARLES ROBERT CONKLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
323 MARION AVENUE NW, SUITE 100, MASSILLON, OH 44646
(330) 832-8800
(330) 832-3142
Mailing address
323 MARION AVENUE NW, SUITE 100, MASSILLON, OH 44646
(330) 832-8800
(330) 832-3142

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34.002344
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0303522
OH
Enumeration date
08/08/2006
Last updated
06/04/2013
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