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Individual

DOUGLAS J RIPKIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9424 STATE ROUTE 14, STREETSBORO, OH 44241-5226
(330) 422-1111
(330) 422-1110
Mailing address
9424 STATE ROUTE 14, STREETSBORO, OH 44241-5226
(330) 422-1111
(330) 422-1110

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35046927
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0696582
OH
01
P00966613
RAILROAD MEDICARE
OH
Enumeration date
05/28/2006
Last updated
10/13/2014
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