Individual
DR. KRISTIN W GUILONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
105 LOUDEN CT, ELYRIA, OH 44035-8027
(440) 240-1655
(440) 240-1663
Mailing address
1205 BROADWAY, LORAIN, OH 44052-3409
(440) 240-1655
(440) 233-0194
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
005415
AZ
208000000X
Pediatrics Physician
Primary
34.011067
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0093967
—
OH
01
—
34.011067
OHIO LICENSE
OH
Enumeration date
06/08/2007
Last updated
02/08/2016
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