Organization
FAMILY MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE ETHELL MIRANDE M.D. (PRESIDENT)
(330) 494-9785
Entity
Organization
Contact information
Practice address
6525 MARKET AVE N, SUITE 101, CANTON, OH 44721-2430
(330) 494-9785
(330) 494-9798
Mailing address
6525 MARKET AVE N, SUITE 101, CANTON, OH 44721-2430
(330) 494-9785
(330) 494-9798
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35072373
OH
Other
Enumeration date
10/16/2007
Last updated
01/18/2011
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