Individual
SHAUN WHISENANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1365 CORPORATE DR STE A, HUDSON, OH 44236-4432
(330) 342-5555
(330) 342-5651
Mailing address
1365 CORPORATE DR STE A, HUDSON, OH 44236-4432
(330) 342-5555
(330) 342-5651
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.135875
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2016
Last updated
02/24/2021
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