Individual
DR. MYUNG S KWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
624 MARKET AVE N, CANTON, OH 44702-1017
(330) 454-7066
Mailing address
624 MARKET AVE N, CANTON, OH 44702-1017
(330) 454-7066
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
40382
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2098340
—
OH
Enumeration date
09/25/2006
Last updated
03/07/2012
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