Individual
MARTIN AKUSOBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
885 N SANDUSKY AVE, UPPER SANDUSKY, OH 43351-1031
(419) 294-4991
Mailing address
3378 WHEEL WRIGHT DR, GALENA, OH 43021-9748
(740) 965-4893
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
192994
NY
207P00000X
Emergency Medicine Physician
Primary
67202
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0974218
—
OH
05
—
1811928302
—
OH
Enumeration date
07/05/2006
Last updated
04/08/2010
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