Individual
ERIC SCHUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2662 BUCKHORN DR, SYLVANIA, OH 43560-1197
(440) 488-6932
Mailing address
2662 BUCKHORN DR, SYLVANIA, OH 43560-1197
(440) 488-6932
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01091584A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2022
Last updated
09/14/2023
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