Organization
MANSARD MEDICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS G SHAHEEN M.D. (PRESIDENT)
(330) 452-8858
Entity
Organization
Contact information
Practice address
2600 TUSCARAWAS ST W, SUITE#500, CANTON, OH 44708-4644
(330) 452-8858
(330) 452-7797
Mailing address
2600 TUSCARAWAS ST W, SUITE#500, CANTON, OH 44708-4644
(330) 452-8858
(330) 452-7797
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0960974
—
OH
Enumeration date
03/14/2006
Last updated
06/18/2010
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