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Individual

DR. ROBERT SANTIAGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
396 PORTLAND WAY N, GALION, OH 44833-1115
(419) 462-5543
(419) 462-2058
Mailing address
247 GLEN VILLAGE CT, POWELL, OH 43065-9677
(614) 431-8869
(614) 431-9910

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
35-05-7517
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0759362
OH
01
1076649
WORKER'S COMP EMPL. RISK
OH
01
35-05-7517
OHIO MEDICAL LICENSE
OH
Enumeration date
02/14/2007
Last updated
03/07/2023
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