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Individual

PRIYANKA J MUDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.P.M.

Contact information

Practice address
8328 CLEVELAND AVE NW, NORTH CANTON, OH 44720-4820
(330) 494-4949
Mailing address
8328 CLEVELAND AVE NW, NORTH CANTON, OH 44720-4820
(330) 494-4949
(330) 494-4945

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
36.110003
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0822015
OH
Enumeration date
06/09/2014
Last updated
12/06/2021
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