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Individual

MARTIN JOHNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4665 DOUGLAS CIR NW, SUITE 101, CANTON, OH 44718-3673
(330) 499-5700
(330) 498-4229
Mailing address
4665 DOUGLAS CIR NW STE 100, CANTON, OH 44718-3673
(330) 499-5700

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35085062
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000364420
ANTHEM
05
2571597
OH
Enumeration date
05/13/2006
Last updated
04/15/2019
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