Individual
DR. ANIL EDWARD PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
715 RICHLAND MALL, ONTARIO, OH 44906-3802
(419) 522-3751
Mailing address
700 N COLUMBUS ST, CRESTLINE, OH 44827-1455
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.076779
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2188252
—
OH
Enumeration date
06/13/2006
Last updated
01/07/2021
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