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Individual

ADRIAN N KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
550 SOUTH TRIMBLE, MANSFIELD, OH 44906
(419) 756-1961
(419) 774-9145
Mailing address
PO BOX 22958, CLEVELAND, OH 44122-0958
(216) 595-9600
(216) 595-9601

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36002211
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0557875
OH
Enumeration date
06/15/2006
Last updated
03/11/2009
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