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Individual

EDWARD E MISSINNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2600 6TH ST SW, CANTON, OH 44710-1702
(844) 722-4471
Mailing address
2801 ATLANTIC AVE, LONG BEACH, CA 90806-1701
(562) 933-1550
(562) 933-8088

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101284837
VA
2085R0202X
Diagnostic Radiology Physician
25IA12579400
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
35.145228
OH
2085R0202X
Diagnostic Radiology Physician
Primary
A181756
CA
2085R0202X
Diagnostic Radiology Physician
E-19079
AR

Other

Enumeration date
03/23/2016
Last updated
04/24/2026
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