Organization
PREMIER GYNECOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN KRIVETZKY MD (PRESIDENT)
(330) 546-0751
Entity
Organization
Contact information
Practice address
4256 FULTON DR NW, STE B, CANTON, OH 44718-2879
(330) 546-0751
(330) 956-5237
Mailing address
4256 FULTON DR NW, STE B, CANTON, OH 44718-2879
(330) 546-0751
(330) 956-5237
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
35072306K
OH
Other
Enumeration date
06/14/2011
Last updated
06/14/2011
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