Individual
COREY MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2420 LAKE AVE, ASHTABULA, OH 44004-4954
(440) 997-6328
Mailing address
2420 LAKE AVE, ASHTABULA, OH 44004-4970
(226) 246-7701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101023770
MI
Other
Enumeration date
05/25/2018
Last updated
06/08/2021
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