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Individual

DR. JOEL L SHANKLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
825 W MARKET ST STE 260, LIMA, OH 45805-2745
(419) 996-5208
(419) 996-5209
Mailing address
PO BOX 636930, CINCINNATI, OH 45263-6930

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
35137549
OH
2086S0122X
Plastic and Reconstructive Surgery Physician
48571
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300044892A
GA
05
G48571
SC
Enumeration date
07/07/2005
Last updated
10/17/2019
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