Individual
DR. RAYMOND ENRIQUE DECANIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
730 W MARKET ST, LIMA, OH 45801-4602
(419) 227-3361
Mailing address
730 W MARKET ST, LIMA, OH 45801-4602
(419) 226-4382
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57.012235
OH
2085R0202X
Diagnostic Radiology Physician
Primary
35.099409
OH
Other
Enumeration date
03/20/2007
Last updated
01/16/2025
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