Individual
JOSEPH R MCSHANNIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
95 ARCH ST, SUITE 215, AKRON, OH 44304-1437
(330) 434-4145
(330) 375-4985
Mailing address
95 ARCH ST, SUITE 215, AKRON, OH 44304-1437
(330) 434-4145
(330) 375-4985
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
35062665
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0326374
—
OH
05
—
0845563
—
OH
Enumeration date
10/07/2005
Last updated
04/19/2011
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